Winnipeg Junior Utilization Analyst

Position: Winnipeg Junior Benefits Utilization Analyst
Enhance your career as a Junior Benefits Utilization Analyst in Winnipeg, MB, with a focus on fraud detection and claims evaluation. This hybrid position values strong analytical capabilities and attention to detail.

You will be key in the initial review process of benefit claims, analyzing for any signs of irregularities or potential fraud. As a Junior Analyst, you'll assess referrals and tips, deciding whether to advance claims or escalate them to a Senior Analyst. Adaptability and effective workload management will be essential in this position.

Key Responsibilities:

• Review and evaluate benefit claims for potential fraud

• Analyze referrals to detect unusual patterns

• Recommend cases for escalation to Senior Analysts

• Effectively manage varying claims caseloads

• Maintain confidentiality and professional integrity in all tasks

Requirements:

• Experience in health and dental claims processing

• Knowledge in fraud or abuse investigations is advantageous

• Proficient with Microsoft Word and Excel

• Excellent communication and problem-solving skills

• Legal eligibility to work in Canada

Apply your analytical skills and commitment to ethics as a Junior Benefits Utilization Analyst in Winnipeg.
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