Benefits Support Analyst

Description

Job Summary: We are seeking a proactive and organized professional to analyze and optimize administrative processes, provide clarifications, and facilitate authorizations in the healthcare area. Key Highlights: 1. Motivated and continuously evolving team 2. Light, welcoming, and dynamic environment 3. Opportunities to grow, learn, and transform If you are proactive, organized, and passionate about analyzing and optimizing administrative processes, we have an opportunity for you! If you identify with this role and want to join a motivated and continuously evolving team, apply now! **Responsibilities and Duties** **Your challenges will include:** * Providing **clarifications** regarding coverage doubts, limits, and deadlines; * Facilitating **medical-hospital service authorizations**, observing respective requirements from health insurers, such as UTD (Utilization Guidelines), requests for submission of medical reports or complementary exams; * Handling **patient transfers**, coordinating with Itsseg’s medical team / insurer / client; * **Recommending healthcare providers**, considering the beneficiary’s plan network and the procedure to be performed; * Guiding and directing the insurer on **pre-reimbursement requests** and **reimbursement timelines**; * Addressing, together with the client, potential **invoice payment delays**, which may lead to **suspension of services**, as informed by the insurer, Itsseg’s finance department, or other channels; * **Tracking payments**, invoice settlement, and **service reactivation** (when applicable); * Requesting **payment deadline extensions**, for invoices sent within the agreed timeframe; * **Directing** internal operational teams regarding requests for **duplicate invoices** and **cards**; * **Contacting** Itsseg’s document courier (if needed) to collect/deliver documents; * **Sending checklists of documents** required by insurers to proceed with medical-hospital reimbursement or life insurance group benefit indemnification; * **Notifying** clients and/or **tracking resolution** of **document-related pending items** identified or requested by insurers during reimbursement, claims processing, and life insurance indemnification; * **Guiding** on procedures for **funeral assistance** and **travel assistance**; * Responding to email requests within a maximum of **24 business hours** from receipt; * **Recording** all **support interactions** in Itsseg’s operational module; * **Immediately informing** the **coordination team** of any **incidents** or relevant information observed during support activities; **Requirements and Qualifications** **It would be important that you have:** * Proficiency in Microsoft Office suite (Word, Excel – **intermediate level**); * **Mandatory** experience in benefits operational routines; **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:** * Excellent work climate, light, welcoming, and dynamic environment; * Birthday day off; * 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; **Working Hours:** **Work Location: Joinville / SC** We are a global fintech that **connects people and technology to deliver personalized 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 results stem 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!