About this role

Lead and develop operational teams;
Ensure compliance with SLAs and productivity targets;
Manage performance and quality indicators;
Ensure compliance with ANS regulatory standards and internal policies;
Drive continuous improvement and process automation;
Reduce rework, backlogs, and financial impacts resulting from operational inconsistencies.

Bachelor's degree or higher;
Experience in health plan operators or insurance companies;
Experience supervising teams handling medical, dental, or reimbursement claims;
Knowledge of clinical billing, claim denials (glosas), administrative audit, and claims processing;
Familiarity with ANS regulations and market standards such as TISS, TUSS, CBHPM, and other billing code tables;
Analytical, organized, and results-oriented profile.
Preferred: Postgraduate degree or MBA in related fields;
Knowledge of Power BI;
Experience in digital transformation and process automation projects;
Certifications in process management or continuous improvement methodologies.

Medical Claims Processing Supervisor

Key skills