Isabel Vuja is a highly qualified professional with over six years of consolidated experience in the insurance sector, specializing in health insurance administration, contract management, and service provider coordination at both national and international levels. Holding a degree in International Relations and Diplomacy, she brings a refined strategic mindset complemented by advanced training through an MBA in Business Administration & Management and Talent Management.
Throughout her career, she has excelled in managing corporate client portfolios, underwriting policies, coordinating medical pre-authorizations and reimbursement processes, while ensuring high standards of client retention, compliance, and satisfaction in dynamic corporate environments.
Core Areas of Expertise & Strategic Focus
- Health Insurance Management & Administration: Comprehensive expertise across the policy lifecycle, including underwriting support, crafting tailor-made coverage proposals, issuing benefit schedules, managing member inclusions/exclusions, and leading renewal processes.
- Corporate Account Management & Client Relations: Dedicated support for corporate and individual clients, providing technical guidance, policy onboarding, and delivering quarterly usage analytics reports.
- Contract Management & International Provider Networks: Hands-on experience in onboarding, contract administration, and relationship management with healthcare service providers across Mozambique, South Africa, Portugal, and India.
- Public Tenders & Commercial Bidding: Structuring, compiling, and organizing technical and administrative documentation for participation in public tenders and corporate procurement processes.
- Operational Workflows & Claims Validation: Reviewing and authorizing medical pre-authorizations, processing claims and reimbursements, and streamlining communications between insurers, corporate clients, and medical networks.
Career Highlights
- Skyddo Insurance Broker: Served as Executive Assistant & Underwriting Specialist, providing management support, preparing multi-insurer quotations, and managing public tender submissions.
- Mediplus Insurance Company: Acted as Client Relations Specialist, conducting corporate orientation sessions, overseeing medical pre-authorizations, processing claims, and presenting quarterly utilization reports.
- Palma Insurance Company (Bettercare): Held key roles as Provider Contract Manager and Sales Consultant, driving the expansion of the international healthcare provider network and commercializing customized health plans.
Key Competencies & Core Strengths
- Languages: Native/Fluent in Portuguese and Advanced Professional Proficiency in English (C1 Level).
- Professional Attributes: Strong analytical mind, acute attention to detail, exceptional organizational skills, and a proven ability to manage multiple priorities efficiently under pressure.
- Technical Proficiency: Full command of productivity tools (Microsoft Office: Excel, Word, PowerPoint, Outlook) and insurance management database systems.