Job Summary: We are seeking a proactive and organized professional to analyze and optimize administrative processes, integrating into a motivated and evolving team. Key Highlights: 1. Expertise in administrative process analysis and optimization 2. Integration into a motivated and continuously evolving team 3. A light, welcoming, and dynamic environment focused on collaboration If you are proactive, organized, and passionate about administrative process analysis and optimization, we have an opportunity 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 details, limits, and deadlines; * Facilitating **medical-hospital service authorizations**, while complying with respective insurer requirements—such as UTD (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**, ensuring alignment with the beneficiary’s plan network and required procedure; * Guiding and directing insurers on **pre-approval for reimbursement** and **reimbursement timelines**; * Collaborating with clients on potential **invoice payment failures**, and subsequent **suspension of services**, as notified by the insurer, Itsseg’s finance department, or other channels; * **Tracking payments**, invoice clearance, and **service reactivation** (where applicable); * Requesting **payment deadline extensions**, provided the invoice was issued within the agreed timeframe; * **Directing internal operations teams** on requests for **duplicate invoices** and **cards**; * **Engaging Itsseg couriers** (as needed) for document pickup/delivery; * **Sending checklists of documents** required by insurers to proceed with medical-hospital reimbursement or life insurance group benefit payout; * **Notifying clients** and/or **tracking resolution** of **document-related pending items** identified or requested by insurers during reimbursement, claim processing, and life insurance payout procedures; * **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 customer 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 with 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 Program; **In Addition to These Benefits, We Offer** * An excellent work climate—light, welcoming, and dynamic; * Birthday leave day; * Pharmacy card; * Benefits Club (various partnerships offering exclusive discounts); * SESC partnership; * Discount on our products (insurance); * Discount on movie tickets; * Total Pass (Gym Partnership); * Auster — Emotional balance enhancement program; **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 continue 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 continuous pursuit of innovation. Here, you’ll find opportunities to **grow, learn, and transform**. We respect your background and experiences, and we believe an **inclusive and welcoming environment** adds value to our business. If all this resonates with you, join our story!
João Silva
Indeed · HR
João Silva
Indeed · HR
