Contact Center Representative

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

Provides assistance and customer service related to products and services to patients, doctors, and the general public. Responsible for coordinating appointments, cancellations, and, or changes. Channels complaints, claims, and suggestions from patients to ensure the satisfaction of both internal and external customers. Follows up with clients, manages incidents, and establishes the most appropriate communication mechanisms according to the protocols and procedures established in the department.

Essential Functions

Answers phone calls using company guidelines and following quality standards.
Supports, assists, and guides customers who call to handle their requests regarding clinic products, health coverage, and other policies.
Coordinates, confirms, and reschedules appointments and performs the necessary registration in the appointment book, complying with established norms.
Analyzes and investigates customer requests, intervenes, and works with other departments and divisions of the company to obtain medical consultations, case resolutions, and procedures.
Provides information about service hours and availability.
Evaluates and determines the action to take on customer requests, according to established protocols.
Performs general office tasks such as filing, coding, photocopying, checking invoices, and general documents.

EDUCATION

Associate's Degree in Office Systems or Business Administration
High School Diploma

Experience

Associate Degree in Office Systems, Data Entry, Business Administration, Marketing, or Communications completed, or at least 60-64 university credits, with six months to one year of customer service experience, preferably. Alternatively, a High School Diploma with a minimum of one to three years of customer service experience, preferably.

LICENSES AND CERTIFICATIONS

None required

COMPETENCIES

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.

Nivel de antigüedad
Sin experiencia
Tipo de empleo
Jornada completa
Función laboral
Otro
Sectores
Seguros

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