Portuguese 
English 
Spanish 
3 min of reading 
0 comments 
Remote Position at Unimed Attracts Attention by Offering Fully Online Operations, Digital Selection in Short Stages and Technical Role Focused on Medical Claims Analysis, with Enrollment Open for a Limited Time.
Unimed Nacional has opened applications for the temporary position of Senior Medical Claims Analyst, with fully remote operations.
The selection process takes place online and accepts applications until December 15, 2025.
The opportunity is also available to people with disabilities.
-
The Macaé City Hall starts the week with job openings that promise to boost hiring and open doors for qualified professionals and newcomers to the market, with a focus on offshore positions.
-
Future profession with immediate earnings: Specialist reveals how a solar energy technician earns R$ 8,000 per month by taking advantage of the explosion in demand across the entire country.
-
Work from 8:30 AM to 5:30 PM with a 1-hour break at Sicredi as a Customer Service Assistant and receive a salary + benefits such as life insurance, dental plan, partnerships, Gympass, and much more in job openings across various states.
-
Subsea7 has job openings: the company has offshore and onshore positions available in 2026 for operators, pilots, supervisors, engineers, and much more.
Remote Position in Medical Claims and Regulatory Compliance
The role aims to ensure regulatory compliance, accuracy in billing and payment of medical claims, and efficiency of internal processes.
The remote model involves analyzing service data, verifying amounts, and supporting the steps leading up to the transfer to the finance department.
Among the activities is verifying compliance with applicable regulatory rules, conducting a checklist in the system, reviewing billed items, and adjusting information to ensure that billing follows the required technical parameters.
Data Analysis, Systems and Financial Support
The routine includes entering data into corporate systems, analyzing information, and preparing accounts for forwarding to the finance area.
The responsibility involves validating records, standardizing information, and confirming that accounts are complete before the billing stage.
The work combines the use of digital tools, spreadsheets, and tables with an understanding of the regulations that guide the billing of procedures in supplementary health.
ANS Rules, Process Adjustments and Internal Deliberations
The hired person will need to monitor internal flows and external regulations, such as those from the ANS (National Agency of Supplementary Health).
The role involves suggesting operational adjustments and proposing revisions when rules impact the analysis of claims.
Other responsibilities include recording deliberations, inserting technical justifications, verifying billing deadlines, and checking signatures on external documents, following the company’s protocols and regulatory determinations.
Invoices, Reports and Glosa Appeals
The position requires receiving and organizing invoices, recording the information, and producing analytical reports used by the area to evaluate the performance of processes.
The analysis of glosa appeals is also part of the routine.
In this stage, the professional checks the reasons for the appeals, verifies the submitted documentation, and reviews the entries, maintaining or adjusting the billing according to technical and regulatory criteria.
Required Education and Necessary Experience
The company requests a degree in Business Administration, Accounting, Economics or related fields.
Specialization courses or MBAs are considered differentiators, especially those focused on health management or auditing.
Previous experience in medical claims and knowledge of procedure tables, glosas, and billing is required.
The position requires intermediate Excel proficiency for creating spreadsheets and reports.
Online Selection Process in Five Stages
The process consists of five stages.
The first stage involves registration on the company’s platform.
Next, the candidate fills out the affiliation statement.
The third phase is dedicated to the cultural fit, a stage that assesses the compatibility of the professional profile with the organizational culture, according to the methodology used by the company.
Then comes the behavioral test, applied to map characteristics of performance in the work environment.
The final stage is the hiring, which includes document analysis and formalization of the temporary contract.
Unimed Nacional and Commitment to Diversity
Unimed Nacional is responsible for operating corporate health plans for the brand nationally and serves over 2 million beneficiaries.
According to the company, the institutional focus is on serving customers, partners, employees, and beneficiaries, with attention to the operational routines of the supplementary health sector.
The company claims to maintain a diversity incentive policy.
The organization states it considers people with disabilities and professionals of different gender identities, sexual orientations, races, nationalities, religions, and age groups in its selection processes.
How to Apply for the Remote Position at Unimed
Applications for the Senior Medical Claims Analyst position are open until December 15, 2025.
The application must be made on the official Unimed Nacional platform, where the stages can also be tracked.
-
-
-
-
13 pessoas reagiram a isso.