Qureos Mentor

Temporary Professional Integrated Services

<div><p><b>About the Role:</b></p><p>
The Benefits &amp; HRIS Supervisor plays a critical role in managing and optimizing the organization's employee benefits programs and Human Resources Information Systems (HRIS). This position ensures the accurate administration of benefits plans, compliance with regulatory requirements, and seamless integration of HRIS data to support strategic decision-making. The supervisor leads a team responsible for maintaining data integrity, generating reports, and providing exceptional service to employees regarding their benefits and HR-related inquiries. By collaborating with cross-functional teams, this role drives continuous improvement in HR processes and technology utilization. Ultimately, the Benefits &amp; HRIS Supervisor contributes to enhancing employee satisfaction and operational efficiency within the HR department.</p><p><b>
Minimum Qualifications:</b></p><ul><li>
Bachelor&rsquo;s degree in Human Resources, Business Administration, or a related field.</li><li>
Minimum of 3 years of experience in benefits administration and HRIS management.</li><li>
Strong knowledge of employee benefits programs, HRIS platforms, and relevant labor laws.</li><li>
Proficiency in HRIS software such as Workday, ADP, or similar systems.</li><li>
Excellent organizational, communication, and leadership skills.</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Professional certification such as SHRM-CP, PHR, or CBP (Certified Benefits Professional).</li><li>
Experience working in a multi-state or Puerto Rico-specific regulatory environment.</li><li>
Advanced skills in data analysis and reporting tools like Excel, Power BI, or Tableau.</li><li>
Demonstrated ability to lead cross-functional projects and change management initiatives.</li><li>
Bilingual proficiency in English and Spanish.</li></ul><p><b>
Responsibilities:</b></p><ul><li>
Oversee the daily administration and management of employee benefits programs including health, dental, vision, retirement plans, and other voluntary benefits.</li><li>
Manage and maintain the HRIS database ensuring data accuracy, security, and compliance with company policies and legal regulations.</li><li>
Lead, train, and support the HRIS and benefits team to deliver high-quality service and resolve employee inquiries promptly.</li><li>
Collaborate with vendors, insurance carriers, and internal stakeholders to coordinate benefits enrollment, changes, and renewals.</li><li>
Generate and analyze HRIS and benefits reports to identify trends, support audits, and inform leadership decisions.</li><li>
Ensure compliance with local, state, and federal regulations related to employee benefits and data privacy.</li><li>
Implement process improvements and system upgrades to enhance HRIS functionality and benefits administration efficiency.</li></ul><p><b>
Skills:</b></p><p>
The required skills enable the supervisor to effectively manage complex benefits programs and maintain accurate HRIS data, ensuring compliance and operational excellence. Strong communication skills are essential for interacting with employees, vendors, and leadership to resolve issues and provide clear guidance. Leadership and organizational skills are used daily to manage the team, prioritize tasks, and implement process improvements. Analytical skills support the generation and interpretation of reports that inform strategic decisions and identify opportunities for enhancement. Preferred skills such as bilingual communication and advanced data analysis further empower the supervisor to serve a diverse workforce and leverage technology for continuous improvement.</p></div>

Benefits & HRIS Supervisor

<div><b><i>Temporary position (1 month)</i></b><div><p><b>
Job Description</b></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>
The Customer Service Representative is responsible for assisting customers and prospects with information about the company's products and services. They address and clarify any questions from beneficiaries who have concerns. Resolves service needs by following established operational processes and service guidelines and documents the services provided to ensure the continuity of offerings by the Service Center.</p><p><b>
ESSENTIAL FUNCTIONS :</b></p><ul><li>
Handles and resolves service requests from customers and prospects, including inquiries about the eligibility of policyholders and dependents, cancellation letters, changes to Independent Practice Associations (IPAs) and Primary Care Physicians (PCPs), issuance of duplicate cards, coverage certifications, beneficiary value programs, utility collections, premium collections, and reimbursement requests, among others.</li><li>
Prepares coverage certifications and letters of non-covered services, among others, according to the policyholder&rsquo;s request.</li><li>
Maintains updated the database regarding policyholder demographics information in the systems.</li><li>
Registers visitors in the system and evaluates each member's service situation before interaction to identify areas that need improvement and to determine the appropriate course of action, adhering to established standards such as wait times, service quality, transaction accuracy, and error rates.</li><li>
Logs cases in the system or applications, works the cases received through the Customer Relationship Management (CRM) case referral tool, keeps customers informed of the status, and notifies them of the outcome of the request. Documents in the system the steps taken to complete the service cycle complying with documentation parameters and preparing transaction reports.</li><li>
Handles calls from the Call Center of the company's different lines of business received from members who have questions, concerns, or discomfort about complex situations regarding benefits, processes, and coverage, among others. Ensures that any service cycle is completed for calls that could not be resolved during the first contact or for which there was a commitment to follow up with the customer.</li><li>
Refers to the corresponding unit the complaints received from policyholders, following the established protocol.</li><li>
Receives, documents, solves, and/or channels service requests from other departments to support customer retention, ensuring a response is received.</li><li>
Support other departments by completing Health Risk Assessment (HRA) calls.</li></ul><p><b>
JOB REQUIREMENTS :</b></p><p><b>
Education and Experience:</b> High School Diploma. At least three (3) years of experience working in Customer Service areas, preferably in a Call Center in the Health Insurance Industry.</p><p><b>
Languages:</b></p><p>
Spanish &ndash; Intermediate (comprehensive, writing and verbal)</p><p>
English &ndash; Intermediate (comprehensive, writing and verbal)</p><p></p><p><b><i><br>
TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Females / Disabled / Veterans). We comply with all Federal, State and Local laws regarding nondiscrimination.</i></b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

PR-CUSTOMER SERVICE REP. I-SC

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Temporary Professional Integrated Services

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Benefits & HRIS Supervisor

PR-CUSTOMER SERVICE REP. I-SC