Description: It would be important for you to have: * Knowledge of Microsoft Office suite (Word, intermediate Excel); * Essential to know operational routines related to benefits; * Pursuing a higher education degree in related fields; * Essential to have knowledge/experience with ANS procedure roll (ROL), TUSS and TISS tables will be a differentiator. The challenges you will face: * Provide clarification regarding questions about coverages, limits, and deadlines; * Coordinate authorization for medical-hospital services, observing specific requirements from health plan operators, such as DUT (utilization guidelines), requests for submission of medical reports or complementary exams; * Handle patient transfer cases, interacting with the medical team between the Operator and Client; * Recommend medical-hospital service providers considering the beneficiary's network and required procedures; * Guide and direct the insurer on prior reimbursement requests and reimbursement timeframes; * Work with clients on eventual non-payment of invoices and resulting suspension of services, reported by the operator, Montpelier-Acrisure finance department, or other channels; * Contact (if necessary) the client to collect/deliver documents; * Send checklists of documents required by the insurer to process medical-hospital reimbursements or indemnity payments under group life insurance benefits; * Notify clients and/or follow up on pending documentation identified or requested by operators during reimbursement, movement, and life insurance indemnification processes; * Advise on procedures for travel assistance/travel insurance; * Respond to requests received via email within a maximum of 24 business hours after receipt; * Record all service interactions; * Immediately report to management any incidents or relevant information observed during service; * Request support materials needed for departmental activities, such as SADT guides and medical/hospital prescription forms; * Perform service through Disk Saúde, supporting requests for scheduling appointments, exams, medication refills, and authorizations. 2511140202461695469