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Benefits Service Analyst
Negotiable Salary
Indeed
Full-time
Onsite
No experience limit
No degree limit
Praça Monsenhor Albino, 46 - Centro, Catanduva - SP, 15800-215, Brazil
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Description

If you are a proactive, organized person who loves working with analysis and optimization of administrative processes, we have an opportunity for you! If you identify yourself with the position and want to be part of a motivated team in constant evolution, apply now! **Responsibilities and duties** **The challenges you will face:** * Provide **clarifications** regarding questions about coverages, limits, and deadlines; * Mediate **authorizations for medical-hospital care**, observing respective requirements from insurers, such as UGD (utilization guidelines), requests for submission of medical reports or supplementary exams; * Handle cases of patient **transfer** by interacting with Itsseg Medical Team / Insurer / Client; * **Indicate medical-hospital service providers** while observing the beneficiary's plan network and required procedure; * Guide and direct the insurer on **pre-approval of reimbursements** and **reimbursement timeframes**; * Work with clients on eventual **non-payment of invoices** and consequent **suspension of care**, notified by the insurer, Itsseg finance department, or other channel; * **Monitor payment**, settlement of invoice, and **unblocking of care** (when applicable); * Request **extensions of due dates** when the invoice has been sent within the agreed timeframe; * **Direct** internal operational teams regarding requests for **invoice duplicates** and **cards**; * **Contact** the Itsseg cardholder (if necessary) to pick up/deliver documents; * **Send checklist of documents** required by the insurer to process reimbursement of medical-hospital care or reimbursement of the insured amount under group life insurance; * **Notify** client and/or **monitor** return of **pending documents** identified or requested by insurers in reimbursement, transfer, and life insurance reimbursement processes; * **Guide** on procedures for **funeral assistance** and **travel assistance**; * Respond to requests received via e\-mail within a maximum of **24 business hours** after receipt; * **Record** all **service interactions** performed in the Itsseg operational module; * **Immediately inform** the **supervision team** about any **incidents** or relevant information observed during service; **Requirements and qualifications** **It would be important for you to have:** * Proficiency in Office suite (Word, Excel - **intermediate level**); * **Essential** knowledge of benefits operational routines; * Ongoing higher education in related fields. **Additional information** **Benefits** * Medical Insurance; * Dental Insurance; * Meal Voucher or Food Voucher; * Transportation Voucher; * Life Insurance; * Profit and Results Sharing; **In addition to these benefits, we offer:** * Excellent work environment, light, welcoming and dynamic atmosphere; * Day off on your birthday; * Pharmacy card; * Benefits Club (diverse partnerships with exclusive discounts); * Partnership with Sesc; * Discounts on our products (insurance); * Discounts on movie tickets; * Total Pass (Gym Partnership); * Auster \- Strengthening emotional balance; **Working hours:** **Workplace location:** We are a global fintech that **brings together people and technology to offer personalized solutions** in insurance, reinsurance, benefits, cybersecurity, and other areas. In Brazil, our story began with the acquisition of It’sSeg Company. Currently, we continue even stronger, combining **intelligence, data, and close relationships** to deliver sustainable results. **Our way of working:** We are among the leading insurance brokers and consulting firms in the country, driven by **curiosity, strategy, and collaboration**. We believe the best results come from teamwork and a constant pursuit of innovation. Here, you will find opportunities to **grow, learn, and transform**. We respect your background, your experiences, and believe that an **inclusive and welcoming** environment adds value to our business. If all this resonates with you, come be part of our story!

Source:  indeed View original post
João Silva
Indeed · HR

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