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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in benefits operations and procedures, with strong capabilities in coordinating medical care approvals and managing reimbursement processes. Effective in client communication and documentation management.
Highest-signal resume keywords
Benefits Operations KnowledgeMedical Care CoordinationReimbursement Process ManagementMicrosoft Office ProficiencyClient Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Intermediate Excel SkillsDocument ManagementInvoice SettlementMedical Report HandlingReimbursement Pre-Approval
Soft Skills
Customer ServiceCommunicationProblem-Solving
Tools & Technologies
Itsseg Operations Module
Industry Keywords
Insurance CompliancePatient Transfer CoordinationMedical Service Provider RecommendationIndemnification ClaimsInvoice Due Date Management
About the role
Key responsibilities & impact- Provide clarification on coverage, limits, and timeframes
- Coordinate approvals for medical and hospital care, ensuring compliance with insurer requirements such as DUTs, medical reports, and supplementary examinations
- Handle patient transfer cases, liaising with Itsseg’s medical team, the insurer, and the client
- Recommend medical and hospital service providers according to the plan network and procedure required
- Guide and direct requests for reimbursement pre-approval and reimbursement timelines
- Handle cases involving unpaid invoices and suspended services
- Monitor payment, invoice settlement, and service reinstatement
- Request extensions to invoice due dates
- Forward requests for duplicate invoices and cards to the internal operations team
- Occasionally engage Itsseg’s courier to collect or deliver documents
- Send checklists of documents required for reimbursement and indemnification claims
- Notify clients and follow up on outstanding documentation for reimbursement, policy changes, and life insurance indemnification processes
- Provide guidance on funeral and travel assistance
- Respond to email inquiries within 24 business hours
- Record all customer interactions in Itsseg’s operations module
- Immediately inform the coordination team of incidents or relevant information
Requirements
What you’ll need- Proficiency in Microsoft Office, including intermediate Excel skills
- Essential knowledge of benefits operations and procedures
- Currently pursuing a university degree in a related field
Benefits
Comp & perks- Assistência Médica
- Assistência Odontológica
- Vale-Refeição ou Vale-Alimentação
- Vale-Transporte
- Seguro de Vida
- Participação nos Lucros e Resultados
- Ótimo clima de trabalho, ambiente leve, acolhedor e dinâmico
- Day-off no dia do seu aniversário
- Cartão farmácia
- Clube de Vantagens (parcerias diversas com descontos exclusivos)
- Parceria com Sesc
- Desconto em nossos produtos (seguros)
- Desconto em ingressos de cinema
- Total Pass (Convênio Academia)
- Auster - Fortalecimento do equilíbrio emocional