Senior Business Analyst Insurance Systems

2 weeks ago

Toronto, Ontario, Canada CB Canada Full time

Job Summary:

We are seeking a highly skilled Business Analyst to join our Insurance team. The successful candidate will be responsible for managing data across various insurance systems, including premium rates, policy eligibility, and claims adjudication.

Key Responsibilities:

  • Verify and manage regular administrative requirements, including monthly third-party eligibility files, monthly pre-authorized debit and periodic credit card payments, monthly invoicing support, and claims reporting.
  • Support legal inquiries and validate systems integrity across various systems.
  • Conduct ad hoc research, analysis, and administration/reporting.
  • Identify and analyze departmental systems/business process improvements, develop specifications, document process and procedures, and train staff.
  • Maintain and update documentation related to the above, including a minimum annual review.
  • Creates and maintains user documentation on all business processes across all systems, trains staff on system processes and changes.
  • Manage and maintain the flow of life events that impact eligibility and premium, payment management processes, handle testing and troubleshoot problems.
  • Oversee the execution of all policy-related changes that impact insurance claims processing and premium billing across systems.
  • Oversee cheque runs, premium billing processes, and work with IT to ensure equipment is functional.

Requirements:

  • Strong analytical and problem-solving skills.
  • Working knowledge of group insurance systems with emphasis on insured eligibility, or health care claims adjudication, an asset.
  • Strong interpersonal skills and proficiency in communicating processes, policies, and practices.
  • Strong communicator, both verbally and in written form.
  • Effective planning and organizational skills resulting in the ability to work effectively as part of a team as well as independently.
  • Experience with SQL queries.
  • Advanced knowledge of Microsoft Excel, including functions such as pivot tables and graphics.
  • University degree or College Diploma.
  • CEBS certification an asset.
  • 5+ years of specialized experience.

About Us:

CB Canada is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary, and permanent placement solutions for various roles, including finance, accounting, technology, marketing, legal, and administrative support.

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