At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.
When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.
Let's build healthier communities together, join now!
JOB SUMMARY
Requires the ability to learn and follow politics, procedures, and standards of their area, department, and other related departments. Performs planning efforts within the department, either for operational situations daily, assigned projects or to coordinate multiple resources within their department or division. Anticipates client’s needs and acts pro-actively to attain client satisfaction. Offers assigned clients a direct contact in the company who facilitates the arrangements to realize with Triple-S Salud.
ESSENTIAL FUNCTIONS
- Retain current insured accounts and gain new members by providing a service of excellence.
- Analyze, research, guide, answer questions and assist policyholders, group administrators and providers about the benefits, services and claims payment of Triple-S products by phone, mail or in person.
- Receives customers’ requests by telephone or mail, analyzes requests, provides requested information, and keeps a log of these conversations.
- Educates customers, providers, and employers about products and services by telephone or in person.
Establish, develop, and maintain contacts with the client’s key personnel. - Determine and satisfy the client’s needs by answering questions regarding products, invoicing factors, plan administration, rules and regulations, operational situations, among others.
- Maintains liaison with other departments for issue completion.
- Maintain regular contact with his-her assigned clients aiming to establish confidence, personalized contact, and lasting relationships.
- Develop training and provide it to customer service areas and seasonal employees.
EDUCATION
- Bachelor's Degree in Arts
EXPERIENCE
Bachelor’s Degree in Arts, Science or Business Administration preferable with one (1) to three (3) years of experience in Customer Relations in the health insurance industry preferable.
LICENSES AND CERTIFICATIONS
- None required
COMPETENCIES
- Action Oriented
- Collaborates
- Customer Delight
- Instills Trust
- Manages Ambiguity
It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.
Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.
We encourage Veterans and Disabled to Apply.