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 advantageo...