Benefits Support Analyst

Description

Job Summary: We are seeking a proactive and organized professional to work on administrative process analysis and optimization, providing clarifications and facilitating authorizations in the medical-hospital area. 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 administrative process analysis and optimization, 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 details, limits, and deadlines; * Facilitating **medical-hospital service authorizations**, adhering to 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**, considering the beneficiary’s plan network and the procedure to be performed; * Guiding and directing insurers on **pre-approval for reimbursement** and **reimbursement timelines**; * Collaborating with clients on cases of **payment non-receipt**, leading to potential **service suspension**, as notified by the insurer, Itsseg’s finance department, or other channels; * **Monitoring payment**, invoice settlement, and **service reactivation** (when applicable); * Requesting **invoice due date extensions**, where invoices were issued within the agreed timeframe; * **Directing** internal operational teams regarding requests for **duplicate invoices** and **cards**; * **Contacting** Itsseg’s document courier (as needed) for document pickup/delivery; * **Sending checklists of documents** required by insurers to proceed with medical-hospital reimbursement or group life insurance benefit payout; * **Notifying** clients and/or **tracking resolution** of **document-related pending items** identified or requested by insurers during reimbursement, claims 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** the **coordination team** of any **incidents** or relevant information observed during customer support; **Requirements and Qualifications** **It would be important that you 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; * Familiarity with health insurer and insurance company portals. **Additional Information** **Benefits** * Medical Assistance; * Dental Assistance; * Meal Allowance or Food Voucher; * Transportation Voucher; * Life Insurance; * Profit Sharing and Results Participation; **Beyond 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); * Movie ticket discount; * Total Pass (Gym Partnership); * Auster – Emotional balance enhancement; **Working Hours:** **Work Location:** 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 journey 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 top insurance brokerages and consulting firms in the country, driven by **curiosity, strategy, and collaboration**. We believe the best outcomes stem 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 believe that an **inclusive and welcoming environment** creates value for our business. If all this resonates with you, join our story!