Customer Service Assistant

Description

Job Summary: The professional will provide clear and proactive customer service, resolving inquiries, solving problems, and supplying information regarding health plans and procedures. Key Highlights: 1. Public and internal customer service 2. Problem resolution and clarification of doubts 3. Analysis of contractual information and coverage **Your responsibilities will include:** • Providing prompt and clear service to deliver information, resolve customer inquiries, and solve problems; • Authorizing pending procedures (consultations, exams, and surgeries) for customers located in other cities (inter-city exchange), via system; • Providing telephone and in-person customer service, delivering information about the plan (enrollment/exclusion/transfer), waiting periods, membership card, accredited network, coverage, etc.; • Providing in-person service to beneficiaries and registering all requests; verifying contractual information, temporary partial coverage, waiting periods, rules or exceptions, and other details by consulting operational systems; forwarding such contractual information to medical auditing for analysis and authorization or denial of the request; • Seeking solutions for exams and procedures unavailable locally by conducting local research or exploring options in other municipalities; • Serving internal and external customers via telephone or in person to clarify matters regarding the service location; • And other duties. * Completed high school education **Technical Knowledge:** * Computer literacy: Word or other text editor, Excel or other spreadsheet software * Experience in public-facing customer service **What We Offer:** * 44-hour weekly work schedule (Monday to Friday \- 7:30 AM to 5:30 PM\); * Fully company-funded medical and dental assistance; * Unimed University: distance learning / postgraduate studies / MBA; * Profit-sharing program; * Group life insurance; * Meal/Voucher allowance; * Transportation voucher; * Birthday day-off; * Gympass/Wellhub. **Employment Type:** CLT.