Provide service to a portfolio of lower-complexity clients through in-person, telephone and/or digital channels, ensuring each client is served promptly and accurately according to their needs.
Attend to clients with attentive care based on dialogue and understanding of their needs, providing clarification of doubts and/or necessary information regarding the coverage process for insurable and non-insurable benefits.
Support clients with reimbursement requests and pre-approvals through in-person, telephone and/or digital channels, ensuring effective reimbursement of expenses arising from care received outside the authorized provider network.
Perform the procedures required to conduct market research by collecting the data and information necessary to complete quotation forms, in order to identify the best conditions and options for the client within the renewal timeline.
Prepare reports and/or presentations containing loss-ratio indicators by organizing data, information and quantitative and qualitative analyses to provide clients with the policy results.
Identify opportunities for improvement through mappings carried out during process execution, application of procedures and workflows, proposing actions that enable continuous improvement in customer service.
Perform other related and inherent professional activities as required by the area, whenever necessary, through training, professional development and guidance from the immediate supervisor to ensure continuous professional growth.
Requirements
Bachelor's degree in Administration, Human Resources Management or related fields
Basic knowledge of Excel
Experience in insurance with health and dental products and knowledge of current ANS regulations (National Supplementary Health Agency)