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.