Customer Service Representative

Triple-S; San Juan (PR); On-site; USD 32,000 - 52,000; Full time

Job summary

Triple-S is a Puerto Rico-based insurer delivering high-quality and affordable healthcare solutions to over 1 million customers across Medicare Advantage, Medicaid, Commercial, Life, and P&C lines.

The role focuses on assisting policyholders with payments, claims status, policy changes, and general inquiries to ensure accurate and timely service. A relevant degree and customer service experience are preferred for this position.

Qualifications

• Bachelor's degree or Associate's degree with 1–3 years in customer service.
• Experience in a similar position is preferred (insurance or financial services a plus).
• Strong communication and problem-solving skills with a customer-focused mindset.

Responsibilities

• Receive premium and loan payments from policyholders.
• Guide clients by phone and in person about services and current claim status.
• Respond to correspondence from policyholders in writing or by telephone.
• Process policy settlements and issue the corresponding checks.
• Process loan applications and verify eligibility in the system.
• Notify district managers of policy cancellation requests for business preservation.
• Process policy cancellations and changes to policy covers in the system.
• Generate policy schedules and assemble duplicates.

Skills

Customer service

Communication

Attention to detail

Team collaboration

Education

Bachelor's degree

Associate's degree in Business Administration

Job description

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.

Job Summary

Requires the ability to learn and follow policies, procedures and standards of your area, department and other related departments. Make planning efforts within your department, whether for day-to-day operational situations. Anticipates customer needs and acts proactively to achieve customer satisfaction.

Essential Functions

• Receives premium and loan payments from policyholders.
• Serves clients by telephone and in person to guide them about the services offered and provide them with information on the current status of their claims, payments, changes in premiums, among others.
• Answers correspondence from policyholders either in writing or by telephone.
• Processes policy settlements and issues the corresponding checks.
• Processes loan applications and verify in the system the eligibility of policyholders to make said loans.
• Notifies district managers of policy cancellation requests for business preservation efforts.
• Processes policy cancellations in the system at the request of policyholders.
• Processes requested changes to policy covers and generates policy schedules.
• Processes duplicates and assembly of policies.

Education

• Bachelor's Degree
• Associate's Degree in Business Administration

Experience

• Bachelor's degree, preferably in Business Administration with 1 to 3 years of experience in Customer Service.
• Or instead, Associate's Degree (60-64 college credits), preferably in Business Administration with 2-3 years of customer service experience preferred.
• Or, instead, 3 to 5 years of experience in a similar position.
• Or the equivalence of the combination of education and experience.

Licenses and Certifications

• None required

Competencies

• Action Oriented
• Collaborates
• Manages Ambiguity
• Instills Trust
• Customer Delight (Employee)

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.