Medicare Authorized Representative

Triple-S; Guaynabo (PR); On-site; USD 42,000 - 60,000; Full time

Job summary

Triple-S is seeking a Medicare Authorized Representative responsible for promoting managed care products for individuals eligible for Medicare. The role includes conducting face-to-face enrollment meetings, community and provider education sessions, and adhering to CMS rules and company policies to drive enrollment growth.

The position emphasizes building relationships with providers, community groups, and members while ensuring accurate, timely enrollment and adherence to regulatory

Qualifications

• Bachelor’s degree in Business Administration; Health field preferred.
• 1–3 years of related experience in Health Insurance required; or 5 years in lieu of.
• DOI – Health and Disability License or ability to obtain within 15 days of employment.

Responsibilities

• Promote and sell TSA Medicare products in assigned territory.
• Build and maintain relationships with providers and community organizations.
• Submit daily in-home visit reports to Sales Coordinator on time.
• Report daily production to Supervisor and Manager.
• Ensure applications meet enrollment requirements and are complete.

Skills

Action Oriented

Collaborates

Manages Ambiguity

Instills Trust

Customer Delight (Employee)

Education

Bachelor'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

Responsible for effectively promoting our managed care products designed for persons eligible for Medicare. The Medicare Authorized Representative will grow membership through various sales and marketing initiatives, including conducting face-to-face sales enrollment meetings, communities, and providers education sessions to existing and potential members. Required to follow all company and CMS rules and regulations, and will be monitored regarding volume, quality, accuracy, and demeanor.

Essential Functions

• Responsible for managing an assigned territory to promote and sell TSA products.
• Maintain and establish positive relationships with providers and organizations in the community.
• Follow procedures and timeliness when submitting daily in-home visits reports to Sales Coordinator.
• Report daily production as agreed with Supervisor and Manager.
• Responsible for ensuring the completeness, quality and eligibility criteria of member’s application to meet Enrollment Requirements.
• Contact or follow up on current members in order to obtain customer satisfaction.
• Responsible for effectively communicate benefits and enrollment information to potential members; especially those members with special needs due to physical and/and or mental disabilities.
• Ensure all completed applications are submitted within required time frames; complete administrative paperwork to maintain smooth operations and log activities.
• Identify groups, social services agencies and any other community organization to promote products and services.
• Acts as liaison with community advocacy groups that impacts our target population.

EDUCATION

• Bachelor's Degree in Business Administration

Experience

• Bachelor’s degree in Business Administration and/or Health, preferable, with 1 to 3 years of related experience preferable in the Health Insurance Industry, or associates Degree (60-64 college credits) with 3 to 5 years of related experience preferable in the Health Insurance Industry.
• Or at least 5 years of this work experience in lieu of.
• DOI – Health and Disability License (or ability to request one within first 15 days of employment).

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.