Description
JOIN A TEAM DRIVEN BY EVOLUTION!
At Grupo Fácil, evolution is the driving force that inspires us to continuously grow, innovate in our processes, and exceed expectations every day. With a trajectory marked by stability and responsibility, we have built our story while maintaining our purpose of generating real value for our customers — always with committed people, collaboration, and a focus on results.
Your role on the team
Provide service to beneficiaries and healthcare providers through technical analysis of requests, ensuring resolution, service quality, and compliance with contracts, coverage terms, and supplementary health care rules.
Key responsibilities
* Deliver voice, chat, and email support with technical analysis of requests;
* Interpret contracts, coverage terms, and health care rules;
* Analyze authorization requests, denials, and eligibility determinations;
* Identify systemic or procedural inconsistencies;
* Handle complex issue resolution;
* Record interactions clearly and traceably;
* Meet SLAs and operational targets;
* Support process improvement based on data analysis;
* Collaborate with internal departments to address and resolve requests.
Job Requirements
* Completed or currently pursuing a bachelor’s degree (from the 4th semester onward) in Business Administration, Hospital Management, Nursing, or related fields;
* Experience working at a health insurance operator;
* Familiarity with performance indicator analysis;
* Experience handling critical and regulatory requests;
* Strong verbal and written communication skills;
* Analytical ability and problem-solving skills;
* Proficiency in Microsoft Office suite.
Desired Qualifications
* Prior experience in beneficiary or provider support;
* Knowledge of ANS (National Health Agency) regulations;
* Experience with health management systems;
* Familiarity with operational and quality indicators;
* Understanding of clinical support processes and medical authorizations;
* Intermediate Excel proficiency;
* Knowledge of continuous improvement and process management.
Additional Information
Beyond joining a collaborative and ever-evolving team, you’ll enjoy a comprehensive benefits package designed to support your health, well-being, and professional development:
* Medical and dental assistance;
* Meal allowance via iFood Benefícios card;
* Profit and Results Sharing (PLR), based on the company’s annual target achievement;
* Partnership with Wellz, a platform focused on mental health and well-being;
* Partnership with Wellhub, providing access to gyms and wellness activities;
* Life insurance;
* Partnerships and discounts with educational and language institutions;
* Corporate University, offering professional development learning paths;
* Access to Alura platform, subject to availability;
* Pharmacy benefit (Belo Horizonte and metropolitan region);
* Transportation allowance.
If you possess the above experience and competencies, we’re looking for a professional like you! And if this role doesn’t quite match your profile, please share it — help make a difference!
All our job openings are inclusive. Here, diverse individuals collectively build Grupo Fácil’s evolution.
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