Customer Relationship Assistant

Description

Job Summary: Professional responsible for executing customer authorization processes, ensuring compliance with ANS deadlines and customer satisfaction in inter-state health plans (Intercâmbio) and with Operadora RS. Key Highlights: 1. Customer service and support in authorization processes 2. Focus on customer satisfaction and regulatory compliance 3. Registration and tracking of requests in the management system We seek a professional to execute authorization processes for customers in inter-state health plans (Intercâmbio) and for Operadora RS customers at RAUF providers, primarily via Corporate WhatsApp, RAUF authorization email, and/or password pre-authorization—ensuring adherence to ANS-mandated deadlines and satisfaction of customers and affiliated cooperatives (Sócias). **Responsibilities and Duties** * Provide customer, affiliated cooperative (Sócia), and provider support through existing communication channels—excluding in-person attendance—while strictly adhering to applicable regulations, thereby ensuring compliance with ANS-mandated deadlines and satisfaction of customers and affiliated cooperatives (Sócias); * Support affiliated cooperatives (Sócias) regarding their requests related to service delivery and/or authorizations at RAUF providers; escalate to analysts when difficulties arise; * Record all data and activity related to each request, attaching mandatory documentation in the Management System; * Execute all procedures required to serve beneficiaries enrolled in inter-state health plans (Intercâmbio Estadual) within the RAUF network; * Authorize services for Unimed Federação beneficiaries within the RAUF network, in accordance with contractual coverage, medical audit opinions, current regulations, and legislation; escalate to analysts when difficulties arise; * Register hospitalized customers in Sys\-On, when necessary; * Send lists of hospitalized customers to affiliated cooperatives (Sócias), whenever required; * Assist in maintaining departmental performance indicators and action plans; * Assist in mapping area processes and updating related documentation; * Record Service Level (non-conformities and complaints); * Generate and provide service protocols to beneficiaries; **Requirements and Qualifications** **MANDATORY** * Completed high school education; * Experience in customer service involving authorization of medical exams and procedures; * Prior experience in: Health plan operators, accredited networks (hospitals, clinics, laboratories); * Knowledge of ANS (National Supplementary Health Agency) regulations. **DESIRED** * Completed technical education and/or ongoing higher education; * Familiarity with TOTVS, Sys\-on, or similar systems. **Additional Information** **Upon Hiring:** ****Fuel allowance (Sodexo Card) or transportation voucher Meal allowance and/or meal voucher (Sodexo Card) Childcare allowance or babysitter allowance Workplace gymnastics Gympass **After 3 Months:** Education allowance Language learning allowance Unimed health insurance plan Uniodonto dental insurance plan PPR – Profit Sharing Program Uniform Personal accident insurance Medical emergency assistance (SOS) **After 6 Months:** Private pension plan We are Unimed Central de Serviços, a cooperative integrated into the Unimed\-RS Business Cooperative System, whose purpose is to foster development and generate economic value for all Unimed cooperatives across Rio Grande do Sul. We achieve this by providing products and services, ensuring business sustainability, and collaborating with the national Unimed System, as well as hospitals, clinics, laboratories, and credit cooperatives throughout Brazil. **For 27 years**, we have been part of the world’s largest healthcare cooperative system, serving nearly 20 million people. We are also recognized as one of the **Most Amazing Places to Work**, certified as one of the organizations with the best organizational climate—always prioritizing the health and well-being of our 300+ employees. Our institutional values include people development and appreciation, participatory and transparent management, cooperation, and environmental responsibility. We are seeking talent across diverse fields and are delighted by your interest in joining our team! **Do you identify with this Unimed way of being? Submit your resume and become part of Unimed Central.** Together, we are extraordinary! **\#SomosCoop**