Health Insurance Analyst

Beneva•Quebec, QC

4d•Hybrid

About The Position

Working at Beneva means contributing to giving insurance its primary meaning: the human element. It means collaborating in a climate of trust where each talent makes a difference. It also means being part of a large, human-sized organization. The Health Insurance Analyst acts as an expert advisor in group insurance and health benefits. They analyze complex situations, recommend appropriate solutions, and contribute to the development of policies, procedures, and work methods. They support various internal collaborators, participate in strategic projects, monitor the market and regulations, and ensure the alignment of systems with the product offering. This is a temporary position until July 16, 2027. You will find fulfillment in the following functions: Coordinate activities related to change management, improvement of practices, processes, and procedures based on the needs of users and managers. Participate in projects and lead process and procedure improvement initiatives in health insurance claims management through claims processing and system configuration. Collaborate closely with directors, assistant directors, professionals, and other collaborators concerned by the mandates entrusted to them, follow up on these activities, and make recommendations following their analyses. Respond to complex problems that arise, analyze and explain these situations, identify and submit development needs. Suggest the implementation of solutions to apply, if applicable. Develop and implement data useful for managing activities by developing management reports on service operations. Act as a resource person in communications with the claims processing system provider regarding the creation of rules or parameters in the adjudication system and in developments carried out by the provider. Analyze the specificities and/or new products of insurance policies to determine their impacts on operations. Analyze specifications, identify discrepancies, and propose solutions. Innovate to find new ways of doing things or propose a new product.

Requirements

Hold a bachelor's degree in administration or a relevant discipline
Possess three to five years of relevant experience in group insurance
Functional proficiency in English, both spoken and written, due to the nature of the tasks or interactions with English-speaking colleagues, partners, clients, or suppliers, or to meet the company's growth objectives

Responsibilities

Coordinate activities related to change management, improvement of practices, processes, and procedures based on the needs of users and managers
Participate in projects and lead process and procedure improvement initiatives in health insurance claims management through claims processing and system configuration
Collaborate closely with directors, assistant directors, professionals, and other collaborators concerned by the mandates entrusted to them, follow up on these activities, and make recommendations following their analyses
Respond to complex problems that arise, analyze and explain these situations, identify and submit development needs. Suggest the implementation of solutions to apply, if applicable
Develop and implement data useful for managing activities by developing management reports on service operations
Act as a resource person in communications with the claims processing system provider regarding the creation of rules or parameters in the adjudication system and in developments carried out by the provider
Analyze the specificities and/or new products of insurance policies to determine their impacts on operations
Analyze specifications, identify discrepancies, and propose solutions
Innovate to find new ways of doing things or propose a new product