Benefits Support Analyst

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 **approval of medical-hospital services**, observing respective requirements from health plan operators, such as UTD (Utilization Guidelines), requests for submission of medical reports or complementary exams; * Handle **patient transfers**, coordinating with Itsseg’s medical department / operator / client; * **Recommend healthcare providers**, observing the beneficiary’s plan network and the procedure to be performed; * Guide and direct the insurer regarding **pre-approval for reimbursement** and **reimbursement deadlines**; * Coordinate with clients on potential **payment defaults** for invoices and the resulting **suspension of services**, as notified by the operator, Itsseg’s finance department, or other channels; * **Monitor payment**, invoice clearance, and **service reactivation** (when applicable); * Request **invoice due date extensions**, where the invoice was issued within the agreed timeframe; * **Direct** internal operational teams regarding requests for **duplicate invoices** and **cards**; * **Contact Itsseg courier** (if needed) to collect/deliver documents; * **Send checklist of documents** required by the insurer to process medical-hospital reimbursement or life insurance group benefit payout; * **Notify** the client and/or **follow up on** document-related **pending items** identified or requested by operators during reimbursement, claim processing, and life insurance payout procedures; * Respond to requests received via email within a maximum of **24 business hours** after receipt; * **Record** all **services provided** in Itsseg’s operational module; * **Immediately inform** the **coordination team** of any **incidents** or relevant information observed during service delivery; **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 (health plans, dental plans, transportation vouchers, meal vouchers, food vouchers, fuel vouchers, etc.); * 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); * Movie ticket discount; * Total Pass (gym membership agreement); * Auster – Emotional balance enhancement; **Working hours:** **Work location:** 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 continue stronger than ever, combining **intelligence, data, and close relationships** to deliver sustainable results. **Our way of working:** We rank among the country’s leading insurance brokerage and consulting firms, driven by **curiosity, strategy, and collaboration**. We believe the best outcomes emerge from teamwork and a constant pursuit of innovation. Here, you’ll find opportunities to **grow, learn, and transform**. We respect your background and experiences, and believe that an **inclusive and welcoming environment** adds value to our business. If all this resonates with you, join our story!