Junior Controller Analyst supporting financial processes, focusing on expense control and budget development. Collaborating with finance and operations teams at Feel Alive.
About the role
- Claims Verification Analyst role at Manulife ensuring integrity in health and dental claims processes. Involves auditing submissions and addressing fraud risks with stakeholders.
Responsibilities
- Reviews audit evidence submissions by plan members to authenticate information, identifies areas of concern, actions issues for resolution, and obtains/requests additional evidence required on suspect claim submissions.
- Validates irregular Internet transaction activity through phone call interviews with providers and/or plan members and secures evidence on discrepancies as part of information gathering on suspect claim submission activity.
- Requests supporting documentation from plan members and authenticating information, identifying issues and gaps for further review and resolution.
- Identifies fraudulent claims, documents and gathers evidence, and supports ongoing management of investigation activity.
- Confirms provider’s licensing credentials and legitimate business establishments through Internet searches and by contact with professional associations and colleges.
- Actions and resolves issues for successful audit outcomes and escalates key provider control issues to the e-commerce control management team.
- Analyzes data to identify anomalies, trends and patterns; and supports testing, and documentation of new risk controls for continuous review of all Internet submission activity.
- Supports awareness on e-commerce control and operational workflow issues by providing direction and information to internal Group Benefit departments such as Call Center and various Health and Dental Operation departments.
Requirements
- Knowledge of privacy, civil and criminal legal risks, and processes
- Ability to manage contentious interactions with various stakeholders and take control of stressful situations with tact and diplomacy
- Excellent oral communication skills and ability to interview service providers, plan members and others for successful audit outcomes
- Excellent written communication skills
- Resourceful with a proven analytical, problem solving, and troubleshooting background
- Proficient in research and quick decision making
- Strong organizational skills and the ability to manage multiple conflicting priorities in a fast-paced changing environment as well as adapting to changes are essential
- Ability to take-action on ideas, situations, or opportunities before being asked
- Ability to be skeptical, probing, creative and aggressive in conducting authentication and investigation activity
Benefits
- health, dental, mental health, vision insurance
- short- and long-term disability insurance
- life and AD&D insurance coverage
- adoption/surrogacy and wellness benefits
- employee/family assistance plans
- retirement savings plans (including pension)
- global share ownership plan with employer matching contributions
- financial education and counseling resources
- generous paid time off including holidays, vacation, personal, and sick days
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Logistics Analyst responsible for overseeing international shipments and approvals of documentation at Gertec. Collaborating with various stakeholders to ensure timely import processes and adherence to regulations.
Environmental Analyst managing environmental licensing processes for Echoenergia. Conducting compliance oversight and institutional relationships with regulatory bodies.
Analista Contábil analyzing tax compliance and financial statements for clients at Coplan Contabilidade. Supporting strategic financial decisions and ensuring regulatory adherence.
Senior Cost Analyst at Dengo Chocolates responsible for analyzing production costs and ensuring accurate cost reporting for decision - making. Collaborating with various departments to enhance operational efficiency.
Analista de Customer Insights focusing on Customer Experience research. Join Cogna, an educational services leader impacting millions.
Analista de Transportes managing logistics operations at Braveo, focusing on transportation efficiency and cost control. Collaboration for continuous improvement in a dynamic environment.
Contábil Analyst executing monthly financial closures and collaborating with various teams at Braveo. This role ensures quality and compliance in accounting processes while driving improvements.
Senior Telecom Analyst managing voice networks for Alares Internet. Collaborating with engineering team to enhance services and ensure regulatory compliance.
Analista WFM Sênior role at Atento focused on planning and operational efficiency. Engage with managers and clients to make strategic decisions and optimize processes.