BUSINESS UNIT: GUARDIAN LIFE OF THE CARIBBEAN LIMITED
LOCATION: MARAVAL ROAD
JOB TITLE: BUSINESS ANALYST
REPORTS TO: PROGRAMME MANAGER
PROGRAMME MANAGEMENT OFFICE


JOB OBJECTIVE:
The Business Analyst acts as a bridge between the Business and the Solution Development Team / IT / External Consultants. The job holder is responsible for tasks inclusive of elicitation, analysis and documentation of business requirements; scoping and completing functional designs of process and systems solutions to business issues; and the analysis and measurement of the performance of new and existing systems and process implementations.

MAJOR RESPONSIBILITIES:
Problem and Opportunity Definition Liaise with the process initiator and interview other stakeholders to identify the business problem/ opportunity. Perform root-cause analysis of the identified business problem/opportunity to ensure the right business problem/opportunity is addressed. Business Requirements analysis , management and documentation: Perform analysis to get a definition of what is the desired outcomes to address the Problem/ Opportunity identified. Functional Requirements Analysis and Documentation: Identify all Technical Stakeholders in the Process and Elicit information Utilize the Business Requirements Document to produce User Acceptance Test Participate in technical design and architecture meetings and discussions, informing the Technical architects or consultants on the functional and business requirements .

QUALIFICATIONS:
First Degree ( At least 2nd Class Honors) in Management, Business or related field from a recognized tertiary level educational institution. 5 C.X.C. / CSEC passes including Mathematics and English Language. 2 A Level/ CAPE passes

EXPERIENCE:
3 - 5 years experience in Business Process Reengineering or an IT related field or project environment. Experience on Information Systems Development Life Cycle and its various components which include, but are not limited to, Requirements Analysis, Process, and Systems Design, programming, testing and deployment. Working knowledge of Structured and Object Oriented Systems Analysis and design methods. Experience with reporting tools and techniques and at least two (2) years utilizing reporting software. Experience with the use of Process Mapping, UML BPMN and ERD diagrams in documenting business requirements. Experience with the use of SQL/ T-SQL or other database languages.

KEY COMPETENCIES:
Work Ethic Quality Growth Serving People Problem Solving/ Analytical Skills Planning/ Organization/Flexibility Interpersonal/ Communication Skills Continuous Improvement Team Orientation Job Knowledge/ Skills

PERSONALITY:
The Business Analyst must be able to effectively manage time and resources and use his/her initiative to achieve stated objectives. The individual must be flexible, highly adaptive to changes in the organization and possess excellent interpersonal skills and a strong team spirit.


CONTACT via Email: Roxanne Townsend

BUSINESS UNIT: GUARDIAN LIFE OF THE CARIBBEAN LIMITED
LOCATION: WESTMOORINGS
JOB TITLE: HEALTH CLAIMS ADJUDICATOR
REPORTS TO: TEAM LEADER- HEALTH CLAIMS
INSURANCE OPERATIONS


JOB OBJECTIVE:
The Health Claims Adjudicator ensures prompt and accurate claims settlement, support for claims administration and to provide efficient and effective back office support to customer service for satisfaction of both internal and external clients on a timely basis

MAJOR RESPONSIBILITIES:
Processing of Local, Regional and Overseas claims within the authorized limits on the company health claims processing database and in accordance with company and performance standards. This is inclusive of the determination of the client eligibility for coordination; reviewing of the claim forms in detail to ensure that all provided information is complete and accurate. Processing of Pre-Certification requests from Provider and Clients. Identify process improvements and offer solutions to claim denials, resubmissions and other related processes. Support Customer Service Representatives/Claims Support Staff by assisting with simple queries and other customer concerns. To perform any other job related duties as assigned by the Team Leader/ Manager.

QUALIFICATIONS:
5 CXC/CSEC Passes (At Least Grade 2) including Mathematics and English Language. 2 A Level/ CAPE passes (At Least Grade B) LOMA 280, 290, ACS 100 and all related parts. Pursuing the ALHC Designation

EXPERIENCE:
2 years experience in Health Insurance Administration.

KEY COMPETENCIES:
Work Ethic Quality Growth Serving People Planning, Organizing & Flexibility Team Orientation Continuous Improvement Initiative Interpersonal and Communication Skills Job Knowledge/ Skills

PERSONALITY:
The Health Claims Adjudicator must be detailed oriented. He/ She must have the ability to establish and maintain good relations with customers. The incumbent must possess excellent communication and organizational skills and must be flexible.


CONTACT via Email: Roxanne Townsend