Business Analyst at Qualfon identifying process improvements through data analysis and operational insights in Mexico City.
About the role
- Analista de Atendimento de Benefícios in a fintech providing personalized insurance solutions. Focused on optimizing administrative processes and customer queries.
Responsibilities
- Provide clarification on coverage, limits, and timeframes;
- Coordinate authorizations for medical and hospital care, ensuring compliance with insurers' requirements;
- Work on patient transfers (removals) in coordination with the medical team;
- Recommend medical and hospital providers within the beneficiary's plan network;
- Advise on prior authorization for reimbursements and reimbursement deadlines;
- Liaise with clients in cases of unpaid invoices;
- Monitor payment and unlocking of services;
- Request extensions for due dates;
- Direct the internal operations team regarding requests for duplicate invoices;
- Contact the cardholder to pick up or deliver documents;
- Send a checklist of documents required by the insurer;
- Notify clients about outstanding documents;
- Provide guidance on funeral and travel assistance procedures;
- Record all interactions performed;
Requirements
- Knowledge of Microsoft Office (Word; intermediate Excel);
- Essential to have knowledge of benefits operational routines;
- Currently pursuing a Bachelor's degree in a related field.
Benefits
- Medical assistance;
- Dental assistance;
- Meal or food allowance;
- Transportation allowance;
- Life insurance;
- Profit sharing (PLR);
- Excellent work environment — friendly, supportive and dynamic;
- Day off on your birthday;
- Pharmacy card;
- Benefits Club (various partner discounts with exclusive offers);
- Partnership with Sesc;
- Discount on our products (insurance);
- Discount on cinema tickets;
- Total Pass (gym membership benefit);
- Auster — emotional balance strengthening program;
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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