Claims Activation Agent

Description

Job Summary: A professional to support members and third parties, handling claims opening and follow-up with empathy and efficiency, ensuring a positive experience. Key Highlights: 1. In-person, telephone, and email support focused on claims handling 2. Responsible for organizing and updating process documentation 3. Focus on clarity, empathy, and efficiency in customer service ### **Claims Activation Agent** **Job Description:** We are seeking a **Claims Activation Agent** to join our team! This professional will provide support to members and third parties, handling claims opening and follow-up with clarity, empathy, and efficiency, ensuring a positive customer experience throughout the entire process. **Responsibilities and Activities:** * Provide in-person, telephone, and email support to members and third parties, prioritizing in-person and telephone interactions; * Update internal spreadsheets for management control and follow-up; * Register claims openings in the system, ensuring accurate data entry; * Identify required terms and documents for claims opening, sending them and tracking responses; * Request inspections when applicable and route the process to the Analysis team; * Maintain organized and up-to-date process documentation in the system (SGA) and internal network; * Forward completed files to the Claims Activation Assistant, who will route them to the Analyst for process execution. **Requirements:** * Completed high school education; * Strong verbal and written communication skills; * Proficiency with systems and digital tools; * Organizational skills, proactivity, and attention to detail; * Prior customer service experience is considered a plus. **Working Hours:** * Monday to Friday: **08:00 AM to 06:00 PM** * Alternate Saturdays: **08:00 AM to 12:00 PM** **Compensation and Benefits:** * Base salary: **R$ 1\.628,63** * Performance bonus: **R$ 300,00** * Meal allowance: **R$ 21,00/day** * Transportation allowance or fuel subsidy (as needed) **After 90 days of probation:** * Dental plan – Amil * Health plan – Usisaúde * TotalPass * Clube Certo – Benefits and discounts Minimum Education Level: High School (Secondary Education)