Medicare Authorized Representative

Triple-S Management Corp.; United States; Hybrid; USD 42,000 - 64,000; Full time

Job summary

Triple-S Management Corp. in the United States is seeking a Medicare Authorized Representative to promote our managed care products for people eligible for Medicare. You will grow membership through face-to-face sales enrollment meetings, community outreach, and provider education sessions.

You will follow CMS rules, maintain timely reports, and ensure enrollment paperwork is complete and accurate. The role requires a Bachelor's in Business Administration and 1–3 years in health insurance, or 5+

Qualifications

• Bachelor’s degree in Business Administration required.
• 1–3 years in health insurance industry preferred, or 5+ years in related roles.
• DOI – Health and Disability License or ability to obtain within 15 days.

Responsibilities

• Promote TSA products and manage assigned territory.
• Build positive relationships with providers and community organizations.
• Submit daily in-home visit reports to the Sales Coordinator.
• Report daily production to Supervisor and Manager.
• Ensure applications meet enrollment criteria and are complete.
• Contact current members to ensure customer satisfaction.
• Explain benefits and enrollment information to potential members, including those with disabilities.
• Submit all completed applications within required time frames.
• Identify groups and community organizations to promote products.
• Liaise with community advocacy groups affecting our target population.

Skills

Action Oriented

Ambiguity Management

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).

LICENSES AND CERTIFICATIONS

COMPETENCIES

• Action Oriented
• 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.