Job Summary: The Analyst is responsible for contract and health history analysis to prevent fraud, reduce claim frequency, provide customer service, and assess risks. Key Highlights: 1. Contract analysis to prevent fraud and reduce claim frequency 2. Health history interview and clarification of doubts 3. Risk assessment and definition Join CORPe Saúde — we specialize in meeting our customers’ healthcare needs. Our mission is to deliver excellence in benefits administration and healthcare management, continuously increasing customer satisfaction and expanding business results. **Responsibilities of our Analyst:** * Contract analysis with emphasis on health declaration and health history to prevent fraud and reduce claim frequency; * Contract analysis with emphasis on health declaration and telephone customer support; * Health history interview and clarification of doubts regarding waiting periods; * Correction of health declarations, spreadsheet data entry, and CID coding; * Risk assessment and definition; * Liaison with internal and external departments. **Requirements and Qualifications:** * Completed high school education; * Completed undergraduate or technological degree in Nursing; * Intermediate-level Microsoft Office proficiency; * Knowledge of ANS regulations, claim frequency, risk analysis, and health declarations is a plus.
João Silva
Indeed · HR
João Silva
Indeed · HR
