Junior Operations Analyst handling operational processes for benefits at MDS Group in Brazil. Involves document management, client interaction, and process improvements.
Responsibilities
Perform all operations related to changes to insurable and non-insurable benefits (additions, removals, amendments, upgrades and/or plan extensions) using carriers’ and insurers’ portals and/or systems to ensure correct processing.
Download and process the billing kit via carriers’ and insurers’ portals/systems to enable organized and secure delivery to the client.
Verify invoices by checking all data and information contained in the Billing Kit files to ensure all processed transactions are correct.
Review all received documents to identify contradictory data, gaps, errors, incorrect numbers or documents, and outdated information, in order to prevent issues that could cause losses to the business and/or clients.
Record and update the control log for all transactions performed by entering the required data and information to ensure effective tracking of actions taken.
Provide empathetic, client-centered service—treating people attentively and using clear dialogue to understand needs and to clarify questions or provide necessary information regarding the billing and/or allocation process.
Review dependents who reach adulthood (monthly billing reports and insurers’ registration status) by analyzing reports issued by carriers/insurers and processing exclusions based on age limits.
Identify opportunities for improvement through process mapping performed during execution, applying procedures and workflows, and proposing actions that enable continuous improvement in operational performance.
Perform other related duties inherent to the role as required by the area, using training, professional development and guidance from the immediate supervisor to ensure continuous professional growth.
Requirements
Bachelor's degree in Business Administration, Human Resources Management or related fields
Basic knowledge of Excel
Experience in insurance operations for health, dental and life products
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