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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in benefits administration operations and effective client communication, ensuring timely responses and accurate documentation for reimbursement processes. Skilled in coordinating medical services and managing invoice settlements while maintaining compliance with insurer requirements.
Highest-signal resume keywords
Benefits Administration OperationsClient CommunicationMicrosoft Office ProficiencyInvoice ManagementMedical Service Coordination
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 SkillsDocumentation ManagementReimbursement ProcessingPayment MonitoringAuthorization Coordination
Soft Skills
Problem-SolvingAttention to DetailTime ManagementInterpersonal Skills
Tools & Technologies
Itsseg Operations Module
Industry Keywords
Medical TransportationService ReactivationCoverage LimitsPrior AuthorizationClaims Repayment
About the role
Key responsibilities & impact- Answer questions about coverage, limits, and deadlines
- Coordinate the authorization of medical and hospital services in accordance with insurers’ requirements
- Handle medical transportation cases, liaising with Itsseg’s medical team, the insurer, and the client
- Recommend medical and hospital service providers based on the plan’s network and the required procedure
- Guide and direct requests for prior reimbursement estimates and reimbursement timelines
- Assist clients in cases involving unpaid invoices and suspended services
- Monitor payments, invoice settlement, and service reactivation
- Submit requests for payment due-date extensions
- Forward requests for duplicate invoices and cards to the internal operations team
- Arrange for an Itsseg courier to collect or deliver documents
- Send checklists of documents required for reimbursement or claims repayment
- Notify clients and follow up on outstanding documentation for reimbursement, policy changes, and repayment processes
- Provide guidance on funeral and travel assistance services
- Respond to email inquiries within 24 business hours
- Record all interactions in Itsseg’s operations module
- Immediately report any incidents or relevant information to management
Requirements
What you’ll need- Proficiency in Microsoft Office, including intermediate Excel skills
- Essential knowledge of benefits administration operations
- Currently pursuing a 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