Job Summary: We are seeking a proactive and organized professional to analyze and optimize administrative processes, provide clarifications, and facilitate service authorizations. Key Highlights: 1. Motivated and continuously evolving team 2. Light, welcoming, and dynamic environment 3. Opportunities for growth, learning, and transformation If you are proactive, organized, and passionate about analyzing and optimizing administrative processes, this opportunity is for you! If you identify with this role and wish to join a motivated and continuously evolving team, apply now! **Responsibilities and Duties** **Your key challenges will include:** * Providing **clarifications** regarding coverage doubts, limits, and deadlines; * Facilitating **medical-hospital service authorizations**, observing respective insurer requirements, such as UGD (Utilization Guidelines), requests for submission of medical reports or complementary exams; * Handling **patient transfers**, coordinating with Itsseg’s medical department / insurer / client; * **Recommending healthcare providers**, considering the beneficiary’s plan network and required procedure; * Guiding and directing the insurer on **pre-approval reimbursement requests** and **reimbursement timelines**; * Addressing, together with the client, potential **invoice payment failures**, and resulting **service suspensions**, as communicated by the insurer, Itsseg’s finance department, or other channels; * Managing **registry updates** (additions, deletions, modifications); * **Tracking payments**, invoice settlement, and **service reactivation** (when applicable); * Requesting **due date extensions**, where invoices were sent within the agreed timeframe; * **Directing internal operations teams** regarding requests for **duplicate invoices** and **cards**; * **Contacting Itsseg couriers** (as needed) to collect/deliver documents; * **Sending checklists of documents** required by insurers to process medical-hospital reimbursements or life insurance group benefit payouts; * **Notifying clients and/or tracking follow-ups** on document-related **pending items** identified or requested by insurers during reimbursement, registry update, and life insurance payout processes; * **Guiding clients** on procedures for **funeral assistance** and **travel assistance**; * Responding to email inquiries within a maximum of **24 business hours** from receipt; * **Recording all interactions** in Itsseg’s operational module; * **Immediately informing coordination** of any **incidents** or relevant information observed during service delivery; **Requirements and Qualifications** **It would be important for you to have:** * Proficiency in Microsoft Office suite (Word, Excel – **intermediate level**); * **Mandatory** experience in benefits operational routines; * Currently pursuing a bachelor’s degree in related fields. **Additional Information** **Benefits** * Medical Assistance; * Dental Assistance; * Meal Allowance or Food Allowance; * Transportation Allowance; * Life Insurance; * Profit Sharing and Results Program; **In Addition to These Benefits, We Offer:** * Excellent work climate, light, welcoming, and dynamic environment; * Birthday day-off; * Pharmacy card; * Benefits Club (diverse partnerships offering exclusive discounts); * Sesc partnership; * Discount on our products (insurance); * Discount on movie tickets; * Total Pass (Gym Partnership); * Auster – Emotional balance enhancement; **Working Hours:** **Work Location:** We are a global fintech that **unites 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 an ongoing pursuit of innovation. Here, you’ll find opportunities to **grow, learn, and transform**. We value your background and experiences, and we believe an **inclusive and welcoming environment** creates value for our business. If all this resonates with you, join our story!
João Silva
Indeed · HR
João Silva
Indeed · HR
