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About the role
Key responsibilities & impact- Provide service to a portfolio of medium-complexity clients through in-person, telephone and/or digital channels, ensuring each client is served quickly and accurately according to their needs.
- Deliver attentive customer service based on dialogue and understanding of client needs, clarifying doubts and providing necessary information regarding the coverage process for insurable and non-insurable benefits.
- Support clients with reimbursement requests and/or reimbursement pre-approval, via in-person, telephone and/or digital channels, to ensure effective reimbursement of expenses incurred for care received outside the accredited network.
- Perform the necessary procedures to conduct market studies by gathering data and information required to complete quotation forms, in order to identify the best conditions and options for the client within the renewal timeframe.
- Prepare reports and/or presentations with claims ratio indicators by organizing data and performing quantitative and qualitative analyses to present policy results to the client.
- Identify improvement opportunities through mappings carried out during process execution and application of procedures and workflows, suggesting actions that enable continuous improvement in customer service.
- Perform other related professional activities inherent to the role as required by the area, through training, professional development and guidance from the immediate supervisor, to ensure ongoing professional growth.
Requirements
What you’ll need- Bachelor's degree in Business Administration, Human Resources Management or related fields.
- Intermediate knowledge of Excel.
- Experience in the insurance area with health and dental products and knowledge of current ANS (National Supplementary Health Agency) regulations.
- Customer focus, professionalism, collaboration, innovation, organization, resilience, logical reasoning and assertive 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 & Tools
Exceldata analysismarket studiesquotation formsclaims ratio indicatorsquantitative analysisqualitative analysis
Soft Skills
customer focusprofessionalismcollaborationinnovationorganizationresiliencelogical reasoningassertive communication
Certifications
Bachelor's degree in Business AdministrationBachelor's degree in Human Resources Management