Operations Analyst - Benefits
Job Summary
Job Description
This role is for an Operations Analyst at Marsh, located in Bogota, Colombia, with a hybrid work model. The analyst will be part of the health and life insurance management team, responsible for processing claims, reimbursements, and case management to ensure smooth operations and customer satisfaction. Key responsibilities include handling health and life insurance claims, tracking and closing cases, managing medical authorizations and reimbursements, reviewing documents for compliance, and collaborating with the team to resolve issues and communicate effectively with clients.
Must have:
- Reception, settlement, and reimbursements of health and life insurance claims.
- Case tracking and closing, ensuring accuracy and compliance with policy specifications.
- Management of medical authorizations and reimbursements, especially with prepaid medications, focused on health policies.
- Detailed document review, ensuring compliance with policy conditions and evaluating claims with good judgment.
- Collaborate with the team to proactively solve problems and communicate effectively with clients and internal parties.
Good to have:
- Experience in health insurance, reimbursements, and settlements
- Previous customer service experience or transferable skills
- Knowledge of health, life, and funeral policies is desirable
- Proactive attitude, willingness to learn and grow in the role
Perks:
- Professional development opportunities, interesting work, and supportive leaders.
- Vibrant and inclusive culture, working with talented colleagues to create new solutions and impact colleagues, clients, and communities.
- Variety of career opportunities, benefits, and rewards that enhance well-being.
6 skills required
Job Details
This role will be located in Bogota. It is a hybrid position that requires working at least three days a week in the office. The Operations Analyst will be part of our health and life insurance management team, responsible for processing claims, reimbursements, and case management to ensure smooth operations and customer satisfaction.
We count on you for:
- Reception, settlement, and reimbursements of health and life insurance claims.
- Case tracking and closing, ensuring accuracy and compliance with policy specifications.
- Management of medical authorizations and reimbursements, especially with prepaid medications, focused on health policies.
- Detailed document review, ensuring compliance with policy conditions and evaluating claims with good judgment.
- Collaborate with the team to proactively solve problems and communicate effectively with clients and internal parties.
What you need to have:
- Technologists or recent graduates in administrative or economic careers, with knowledge in insurance, especially health and life.
- Minimum 1 year of experience in analysis and document management.
- Experience in insurance reports, medical authorizations, and reimbursements.
- Proficiency in MS Office, especially Excel.
- Excellent analytical skills and attention to detail.
- Decision-making, conflict management, and communication skills.
What makes you stand out:
- Experience in health insurance, reimbursements, and settlements.
- Previous customer service experience or transferable skills.
- Knowledge of health, life, and funeral policies is desirable.
- Proactive attitude, willingness to learn and grow in the role.
Why join our team:
- We help you be your best version through professional development opportunities, interesting work, and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients, and communities.
- Our scale allows us to offer a variety of career opportunities, as well as benefits and rewards that enhance your well-being.
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About The Company
Marsh McLennan (NYSE: MMC) is the world's leading professional services firm in the areas of risk, strategy and people. The Company's 76,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions. Guy Carpenter develops advancedrisk,reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients.
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