Senior Operations Analyst

Description

Job Summary: A professional responsible for processing insured/non-insured benefit transactions, verifying invoices, serving customers, and pursuing continuous improvement, ensuring operational process accuracy in the insurance area. Key Highlights: 1. Processing of insured and non-insured benefit transactions. 2. Verification of invoices and documents to ensure accuracy. 3. Human-centered service and pursuit of continuous improvement. Description: * Bachelor's degree completed in Administration, Human Resources Management, or related fields. * Advanced Excel proficiency. * Experience in the insurance sector, specifically in operational processes for health, dental, and life insurance products. * Customer-focused mindset, professionalism, collaboration, innovation, organization, analytical ability, business acumen, decision-making skills, and technical leadership. * Execute all operations related to insured and/or non-insured benefit transactions (e.g., enrollments, removals, modifications, upgrades, and/or extension plans) using operators’ and/or insurers’ portals and/or systems to ensure correct processing. * Process billing kit clearance using operators’ and/or insurers’ portals and/or systems to ensure organized and secure delivery to clients. * Verify invoices by reviewing all data and/or information contained in the Billing Kit files to ensure all executed transactions are correctly processed. * Review all received documents by identifying contradictory data and/or information, gaps, errors, incorrect numbers and documents, and outdated information to safeguard against issues that may cause harm to the business and/or client. * Maintain a record of all executed transactions by entering necessary data and/or information to ensure effective tracking of performed actions. * Provide human-centered service through attentive treatment grounded in dialogue and understanding of customer needs, to clarify doubts and/or provide necessary information regarding billing and/or cost allocation processes. * Evaluate dependents reaching adulthood (Monthly Report in billing and Insurers’ Registration Status) by analyzing reports issued by operators and/or insurers to process exclusions due to age limit (adulthood). * Identify improvement opportunities through process mapping conducted during execution, application of procedures, and workflow implementation, to propose actions enabling continuous improvement in operational performance. * Perform other related and inherent professional duties as required by departmental needs and/or demands, whenever necessary, through training, professional qualification, and guidance from the immediate supervisor, to ensure continuous professional development. 251210020218552789