Infrastructure Analyst responsible for maintaining IT systems at the Instituto de Responsabilidade Social Sírio - Libanês. Implementing security measures and participating in critical IT projects.
About the role
- Overpayment Recovery Analyst managing reconciliations for stop loss claims at Sun Life. Tracking, calculating, and pursuing overpayments while collaborating with internal and external stakeholders.
Responsibilities
- Track, calculate and pursue overpayments identified within Stop Loss department
- Researching of files, have full understanding of claims, type of overpayment, overpayment resolution options and total knowledge of systems used by claims department
- Follow up of overpayment requests which may include discussions with Administrator, Claim Analyst, Broker both internal and external customers
- Provide monthly current recovery reports (analysis, trending, actions, status)
- Receive escheatment report, investigate customer data and provide data to banking for potential stop pay/re-issue of checks
Requirements
- 5+ years understanding of first dollar stop loss claims or medical claims
- expert level understanding of the Stop Loss claims process or Medical Claims
- proficient in Excel with advanced skills, including complex formula construction, pivot table manipulation, Vlookup, queries creation
- adept knowledge in navigating and utilizing SharePoint features at an intermediate level, including document management, tracker creation, and basic site administration
- strong understanding of business and relationship building with external customers
- highly skilled verbal and written communication skills.
Benefits
- generous vacation and sick time
- market-leading paid family, parental and adoption leave
- medical coverage
- company paid life and AD&D insurance
- disability programs
- partially paid sabbatical program
- 401(k) employer match
- stock purchase options
- employer-funded retirement account
- flexible work arrangements
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