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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in member services, including effective communication and organizational skills to manage inquiries and support health plan members. Proficient in coordinating authorizations and monitoring complex cases while adhering to established workflows and deadlines.
Highest-signal resume keywords
Customer Service ExperienceCommunication SkillsOrganizational SkillsTime Management SkillsBasic Excel Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Strong CommunicationOrganizational SkillsTime Management
Tools & Technologies
SpreadsheetsTracking Tools
Industry Keywords
HealthcareInsuranceMember ServicesHealth Plan ProvidersReimbursement RequestsEnrollmentContractual RulesSLAsAmar&Cuidar ProgramCLT Labor Regime
About the role
Key responsibilities & impact- Respond to members by phone, WhatsApp, email, chat, and digital channels regarding benefits, coverage, waiting periods, copayments, and contractual rules
- Participate in client meetings, supporting relationships with HR teams and clarifying questions about plans
- Deliver presentations and staff member-support sessions as part of the Amar&Cuidar program
- Coordinate authorizations for procedures, medications, chemotherapy, and medical transportation with health plan providers
- Follow up on appointments for consultations, exams, and therapies
- Support the search for in-network providers and make provider recommendations
- Analyze and follow up on reimbursement requests
- Resolve inquiries with health plan providers, insurers, and suppliers, serving as the team’s technical liaison
- Monitor complex cases and keep records up to date
- Record interactions and case reference numbers in departmental systems
- Support member enrollment and profile changes
- Monitor deadlines and SLAs, keeping tracking tools, spreadsheets, metrics, and reports up to date
- Contribute to the improvement of processes, workflows, systems, and controls
- Develop professionally in the member-services area as a Mid-Level Benefits Analyst at Boon
Requirements
What you’ll need- Previous customer service experience is a plus, preferably in healthcare or insurance
- Basic knowledge of Excel
- Strong communication, organizational, and time-management skills
- Willingness to follow established workflows
- Availability to work in a hybrid model, with 2 days in the office per week
- Availability to work from 9:00 a.m. to 6:00 p.m.
- High school diploma, college degree, or technical education are listed as educational requirements in the job posting registration
- Experience assisting health plan members is assessed during the selection process
- Employment under the CLT labor regime
Benefits
Comp & perks- Seguro de vida
- Vale transporte
- Dayoff no mês do aniversário
- Telemedicina com médicos e especialidades
- Vale alimentação/refeição
- Nutricionistas e Psicólogos gratuitos
- Plano odontológico
- Plano de Saúde - Bradesco Seguros
- Programa de apoio Jurídico,Financeiro,Social
- Programa para crônicos e gestantes
- Totalpass
- Atuação em modelo híbrido