Description
If you are a proactive, organized person who enjoys working with administrative process analysis and optimization, we have an opportunity for you!
If you identify with this position and want to join a motivated and continuously evolving team, apply now!
**Responsibilities and duties** **The challenges you will face:**
* Provide **clarifications** regarding coverage doubts, limits, and deadlines;
* Facilitate **authorization of medical-hospital services**, observing respective requirements from insurers, such as UGD (Utilization Guidelines), requests for submission of medical reports or complementary exams;
* Handle **patient transfers**, coordinating with Itsseg’s medical department / insurer / client;
* **Recommend healthcare providers**, observing the beneficiary’s plan network and required procedure;
* Guide and direct the insurer on **pre-approval for reimbursement** and **reimbursement timelines**;
* Address, together with the client, potential **payment delays** for invoices and resulting **suspension of services**, as notified by the insurer, Itsseg’s finance department, or another channel;
* **Monitor payment**, invoice settlement, and **service reactivation** (when applicable);
* Request **invoice due date extensions**, when invoices were sent within the agreed timeframe;
* **Direct** internal operational team requests for **duplicate invoices** and **cards**;
* **Contact Itsseg’s document courier** (if needed) to collect/deliver documents;
* **Send checklist of documents** required by the insurer to proceed with medical-hospital reimbursement or reimbursement of the insured amount under group life insurance;
* **Notify** the client and/or **follow up on** **outstanding documentation issues** identified or requested by insurers in reimbursement, claim processing, and life insurance reimbursement procedures;
* **Guide** on how to proceed in case of **funeral assistance** and **travel assistance**;
* Respond to requests received via e-mail within a maximum of **24 business hours** from receipt;
* **Record** all **support interactions** in Itsseg’s operational module;
* **Immediately inform** the **coordination team** of any **incidents** or relevant information observed during 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.
**Additional information** **Benefits**
* Medical Assistance;
* Dental Assistance;
* Meal Voucher or Food Voucher;
* Transportation Voucher;
* Life Insurance;
* Profit Sharing Program;
**In addition to these benefits, we offer:**
* Excellent work environment, light, welcoming, and dynamic atmosphere;
* Birthday day off;
* Pharmacy card;
* Benefits Club (various partnerships offering exclusive discounts);
* Sesc partnership;
* Discount on our products (insurance);
* Discount on movie tickets;
* Total Pass (Gym Partnership);
* Auster – Emotional balance enhancement;
**Working hours: 8:30 AM to 5:30 PM**
**Work location: Faria Lima, SP**
We are a global fintech that **connects people and technology to deliver customized solutions** in insurance, reinsurance, benefits, cybersecurity, and other areas.
In Brazil, our story began with the acquisition of It’sSeg Company. Today, we are even stronger, combining **intelligence, data, and close relationships** to deliver sustainable results.
**Our way of working:**
We rank among the leading insurance brokerage and consulting firms in the country, driven by **curiosity, strategy, and collaboration**. We believe the best outcomes emerge from teamwork and continuous pursuit of innovation.
Here, you’ll find opportunities to **grow, learn, and transform**. We respect your background and experiences, and believe an **inclusive and welcoming environment** adds value to our business.
If all this resonates with you, join our story!