Provider Relations Auditor

Applications are invited from qualified persons for the position of Provider Relations Auditor in the Provider Relations Department.

MAJOR DUTIES & RESPONSIBILITIES:

• Schedule and conduct detailed audits of Employee Benefit operations, with emphasis on health care provider compliance, health claims and enrolment practices.
• Ensure compliance with company policies, contractual obligations, and regulatory requirements.
• Analyse and validate provider and claims data for compliance, accuracy and completeness.
• Assist in developing and expanding audit procedures for Providers, or as required for Employee Benefits Operations.
• Manage and monitor the repayment of identified recoverable within the company’s guidelines.
• Provide support to the Advanced Analytics team and participate in the development of models to identify, investigate, mitigate and prevent health insurance fraud.

QUALIFICATIONS, EXPERIENCE & SKILLS:

• A first degree in Business Administration or a related area from a recognised tertiary institution.
• At least two (2) years’ working experience in the insurance industry or any other area in the financial sector.
• Audit experience would be an advantage.
• Working knowledge of Health Insurance operations.
• Working knowledge of claims processing.
• Proficiency in the use of Microsoft Office and the relevant health insurance computer systems.
• Excellent time management skills and able to work on own initiative.
• Excellent interpersonal skills.
• Customer-oriented, meticulous, courteous, co-operative, team-oriented, flexible

SPECIAL REQUIREMENTS

• Must possess a valid driver’s licence for at least 2 years and a reliable motor car.
• Required to travel island wide.

Applications should be submitted to:

Senior Manager – HR & Records Management

Guardian Life Limited

12 Trafalgar Road, Kingston 5

Deadline for submission of application – Wednesday, January 28, 2026

       Guardian Life Limited appreciates all applications; however, only shortlisted candidates will be contacted.