Description
If you are a proactive, organized person who enjoys working with administrative process analysis and optimization, we have an opportunity for you!
If you identify with this position and want to join a motivated and continuously evolving team, apply now!
**Responsibilities and duties** **The challenges you will face:**
* Provide **clarifications** regarding coverage doubts, limits, and deadlines;
* Facilitate **authorization of medical-hospital services**, observing respective requirements from health insurers, such as UGD (Utilization Guidelines), requests for submission of medical reports or complementary exams;
* Handle **patient transfers**, coordinating with Itsseg’s medical department / insurer / client;
* **Recommend healthcare providers**, considering the beneficiary’s plan network and the procedure to be performed;
* Guide and direct the insurer on **pre-approval for reimbursement** and **reimbursement timelines**;
* Coordinate with clients regarding eventual **payment defaults** on invoices and the resulting **suspension of services**, as communicated by the insurer, Itsseg’s finance department, or other channels;
* **Monitor payment**, invoice settlement, and **service reactivation** (when applicable);
* Request **invoice due date extensions**, where invoices were sent within the agreed timeframe;
* **Direct** internal operations team regarding requests for **duplicate invoices** and **cards**;
* **Contact** Itsseg’s document courier (if needed) for document pickup/delivery;
* **Send checklist of documents** required by the insurer to proceed with reimbursement of medical-hospital services or reimbursement of the insured amount under group life insurance;
* **Notify** the client and/or **track resolution** of **document pending items** identified or requested by insurers in reimbursement, claims handling, and life insurance reimbursement processes;
* **Guide** on procedures for **funeral assistance** and **travel assistance**;
* Respond to requests received via email within a maximum of **24 business hours** from receipt;
* **Record** all **support interactions** in Itsseg’s operational module;
* **Immediately inform** the **coordination team** about any **incidents** or relevant information observed during support activities;
**Requirements and qualifications** **It would be important for you to have:**
* Proficiency in Microsoft Office suite (Word, Excel – **intermediate level**);
* **Mandatory** experience with benefits operational routines;
* Currently pursuing a bachelor’s degree in related fields.
**Additional information** **Benefits**
* Medical insurance;
* Dental insurance;
* Meal allowance or food allowance;
* Transportation allowance;
* Life insurance;
* Profit-sharing program;
**In addition to these benefits, we offer:**
* Excellent work environment, light-hearted, welcoming, and dynamic;
* Birthday day off;
* Pharmacy card;
* Benefits club (various partnerships offering exclusive discounts);
* SESC partnership;
* Discount on our products (insurance);
* Movie ticket discounts;
* Total Pass (gym membership program);
* Auster – Emotional balance enhancement;
**Working hours:**
**Work location:**
We are a global fintech that **connects people and technology to deliver customized solutions** in insurance, reinsurance, benefits, cybersecurity, and other areas.
In Brazil, our story began with the acquisition of It’sSeg Company. Today, we are stronger than ever, combining **intelligence, data, and close relationships** to deliver sustainable results.
**Our way of working:**
We rank among the leading insurance brokerage and consulting firms in the country, driven by **curiosity, strategy, and collaboration**. We believe the best outcomes emerge from teamwork and a constant pursuit of innovation.
Here, you’ll find opportunities to **grow, learn, and transform**. We respect your background and experiences, and believe that an **inclusive and welcoming environment** adds value to our business.
If all this resonates with you, join our story!