MDS Group

Analyst

• Manage a portfolio of highly complex clients through in-person, telephone, and/or digital channels
• Answer questions and provide information about coverage for insured and/or non-insured benefits
• Support requests and preliminary reimbursement calculations for expenses incurred outside the accredited provider network
• Conduct market research and gather data for quotation forms
• Prepare reports and presentations featuring claims ratio indicators
• Identify opportunities to improve processes and workflows
• Perform related activities as required by the department

Senior Relationship Analyst

Operations

• Execute low-complexity operational processes for insurable and/or non-insurable benefits
• Process changes to insurable and/or non-insurable benefits, including enrollments, cancellations, modifications, upgrades, and/or extension plans, using operator and/or insurer portals and systems
• Download the billing package and send it to clients in an organized and secure manner
• Review invoices and data included in the Billing Package files
• Review received documents, identifying inconsistencies, omissions, errors, incorrect numbers or documents, and outdated information
• Update records of processed changes
• Provide personalized customer service and answer questions regarding billing and/or cost allocation
• Review dependents who reach the age of majority and process cancellations due to age-limit eligibility rules
• Identify improvement opportunities and suggest actions for the continuous improvement of operational performance
• Perform related activities as required by the department

Junior Operations Analyst

• Analyze and process benefits transactions, validating requests for additions, removals, and changes, and coordinating corrections with clients, insurers, and/or insurance providers
• Analyze inconsistencies in operational processes and direct resolution efforts to the relevant teams and clients
• Follow up on billing processes, monitor invoice issuance, perform reconciliations, and identify discrepancies
• Review billing information, amounts, and transactions, and coordinate necessary adjustments
• Analyze and monitor Life insurance claims processes, reviewing documentation, forwarding claims to insurers, and tracking their completion
• Monitor deadlines, outstanding items, and process stages with insurers and/or insurance providers, keeping clients and internal teams informed
• Prepare and analyze delinquency reports
• Provide operational support to clients and internal teams
• Monitor deadlines, outstanding items, and KPIs, keeping controls up to date and ensuring SLA compliance
• Perform related activities as needed by the department and as directed by the immediate supervisor

Junior Operations Analyst – Life & Pension

• Handle all operational processing of insurable and/or non-insurable benefits transactions, including enrollments, terminations, changes, upgrades, and/or extension plans, using the portals and/or systems of insurance carriers and/or providers to ensure that all processing is completed accurately.
• Download billing packages through the portals and/or systems of insurance carriers and/or providers and send them to clients in an organized and secure manner.
• Review invoices by verifying all data and/or information contained in the billing package files.
• Review all documents received, identifying contradictory data and/or information, omissions, errors, incorrect numbers or documents, and outdated information.
• Maintain records of all transactions processed.
• Provide personalized customer support to clarify questions and provide information about billing and/or cost allocation.
• Review dependents who reach the applicable age of majority and process terminations when they exceed the eligible age limit.
• Identify opportunities for improvement and recommend actions to support continuous improvement in operational performance.
• Perform other related professional duties inherent to the position, as required by the department.

Operations Analyst – Junior

• Execute low-complexity operational processes for insurable and/or non-insurable benefits
• Process benefit changes, including enrollments, terminations, amendments, upgrades, and/or extension plans, using carrier and insurer portals and systems
• Download billing packages and send them to clients in an organized and secure manner
• Review invoices and verify data and information in billing package files
• Review received documents, identifying inconsistencies, omissions, errors, incorrect numbers, and outdated information
• Update tracking records for completed changes
• Provide personalized customer service and clarify billing and/or cost allocation questions
• Review dependents who reach the age of majority and process terminations due to age-limit rules
• Identify improvement opportunities and suggest actions for the continuous improvement of operational performance
• Perform related activities as needed by the department, with training, qualification, and guidance from the immediate supervisor

Administrative Assistant

• Provide operational and administrative support for processes by entering, updating, and organizing the information required to create occupational health documents and records.
• Prepare and organize documents related to the Occupational Medical Control Program (PCMSO) based on information recorded in the system and biological monitoring reports, ensuring accurate document issuance and forwarding to clients for the continuation of occupational examination processes.
• Support the preparation of occupational health analytical reports by consolidating information on examinations conducted during the PCMSO validity period, including CAT records, identified changes, and other information required for analysis and monitoring.
• Record and apply occupational examinations in internal systems (SOC), configuring and updating the information required to generate examination orders, biological monitoring reports, and analytical reports.
• Handle and respond to department inquiries by email and telephone, supporting internal and external clients, clarifying operational questions, and directing requests to the appropriate departments when necessary.
• Perform other professional activities related to and inherent to the position, as required by the department's needs and/or demands, through training, professional development, and guidance from the immediate supervisor, in order to support continuous professional growth.

• Schedule pre-employment, periodic, return-to-work, occupational risk change, and termination occupational health examinations
• Track expiration dates for periodic examinations and legally required programs using spreadsheets, the SOC system, and deadline alerts
• Update client databases in the SOC system by importing, reviewing, and consolidating spreadsheets
• Liaise with the accredited provider network to schedule appointments, confirm attendance, and receive digital medical records
• Ensure that Occupational Health Certificates (ASOs) are delivered within the defined deadlines
• Support the organization of technical visits with clients
• Manage the flow of medical certificates and absences, including receipt, review, and system registration
• Liaise with the occupational physician to provide guidance to clients and monitor cases
• Support periodic meetings with client companies by preparing agendas, reports, and supporting materials
• Support the resolution of client-company outstanding items in coordination with internal departments
• Perform other related activities as required by the department and directed by management

Administrative Assistant – Dedicated Account Management

• Manage a portfolio of low-complexity clients through in-person, telephone, and/or digital channels
• Assist clients by answering questions and providing information about coverage processes for insured and/or non-insurable benefits
• Support clients with reimbursement requests and/or reimbursement estimates
• Conduct market research and gather data and information for quotation forms
• Prepare reports and/or presentations featuring claims ratio indicators and quantitative and qualitative analyses
• Identify opportunities to improve processes, procedures, and workflows
• Perform related professional activities as needed by the department, with support from training and guidance provided by the immediate supervisor

Relationship Analyst – Junior

• Schedule pre-employment, periodic, return-to-work, occupational risk change, and exit medical examinations
• Collect and verify employees’ personal and occupational information for submission to accredited clinics and to meet legal deadlines
• Track the expiration dates of periodic examinations and legally required programs using spreadsheets, the SOC system, and deadline alerts
• Update clients’ databases in the SOC system by importing, checking, and consolidating spreadsheets
• Liaise with the accredited provider network to schedule examinations, monitor confirmations, receive digital medical records, and deliver Occupational Health Certificates (ASOs)
• Support the organization of technical visits with clients
• Monitor the flow of medical certificates and leave of absence records, registering certificates in the system and liaising with the occupational physician
• Support periodic meetings with client companies by preparing agendas, reports, and supporting materials
• Support the resolution of client companies’ outstanding issues in coordination with internal departments
• Perform related professional activities as required by the department, training, and management guidance

Manager

• Manage and oversee insured and non-insured benefits for corporate clients
• Promote the training and ongoing development of employees through performance evaluations, feedback, and active leadership
• Ensure execution of the plan by communicating objectives, setting expectations, and assigning responsibilities
• Manage a portfolio of highly complex clients with significant scale, revenue, and relationship requirements
• Conduct negotiations involving contracts and coverage under existing policies, while overseeing renewals with insurance carriers and insurers
• Manage relationships between clients and carriers or insurers
• Manage operational performance indicators for insured and non-insured benefits
• Serve as the client’s focal point and advocate, providing consultative relationship management and coordinating with technical teams
• Identify cross-selling and upselling opportunities
• Develop clients’ annual Account Plans
• Lead Executive Committee or Benefits Committee meetings, presenting performance reports, market analyses, technical recommendations, and key performance indicators
• Lead renewal adjustment negotiations with carriers and insurers, using benchmarking studies, actuarial and financial analyses, scenarios, and claims experience history
• Perform related activities, training, guidance, and qualification initiatives

Benefits Manager

• Execute low-complexity operational processes for insurable and/or non-insurable benefits
• Analyze and process benefit transactions, validating requests for additions, removals, and changes
• Identify inconsistencies and coordinate corrective actions with clients, insurers, and/or healthcare providers
• Analyze inconsistencies in operational processes and route them to the relevant teams and clients for resolution
• Monitor billing processes, reviewing invoices, amounts, transactions, and other relevant information
• Analyze and monitor Life claims processes, reviewing documents, submitting claims, and tracking their progress
• Monitor deadlines, outstanding items, and process stages with insurers and/or healthcare providers
• Prepare and analyze delinquency reports
• Provide operational support to clients and internal teams
• Monitor KPIs, keep controls up to date, and ensure SLA compliance
• Perform related activities as required by the department

• Manage all operations related to changes to insured and/or non-insured benefits, including enrollments, terminations, changes, upgrades, and/or extension plans, using the portals and/or systems of providers and/or insurers
• Download billing packages using provider and/or insurer portals and systems, ensuring they are organized and securely sent to clients
• Review invoices and verify the data and information contained in billing package files
• Review received documents, identifying contradictory data, omissions, errors, incorrect numbers or documents, and outdated information
• Maintain records of all changes processed
• Provide personalized customer service to clarify questions and provide information about billing and/or cost allocation
• Review dependents who reach the maximum eligible age and process terminations due to age limits
• Identify opportunities for improvement and suggest actions to support the continuous improvement of operational performance
• Perform related professional activities as required by the department, with training, professional qualifications, and guidance from the immediate supervisor

• Manage all operations involving enrollments and changes to insured and/or non-insured benefits (additions, removals, changes, upgrades, and/or extension plans) through the portals and/or systems of healthcare providers and/or insurers
• Download billing packages from the portals and/or systems of healthcare providers and/or insurers and send them to clients in an organized and secure manner
• Review invoices and data contained in billing package files
• Review received documents, identifying contradictory data, omissions, errors, incorrect numbers or documents, and outdated information
• Maintain records of all processed changes and transactions
• Provide personalized customer service and clarify questions regarding billing and/or cost allocation
• Review dependents who reach the age of majority and process removals in accordance with the applicable age limit
• Identify opportunities for improvement and suggest initiatives for the continuous improvement of operational performance
• Perform related professional activities as required by the department

• Schedule pre-employment, periodic, return-to-work, occupational risk change, and termination occupational health examinations
• Collect and verify employees’ personal, employment, and occupational health information
• Track expiration dates for periodic examinations and legally required programs using spreadsheets, the SOC system, and deadline alerts
• Update client databases in the SOC system by importing, reviewing, and consolidating spreadsheets
• Liaise with the accredited provider network to schedule examinations, confirm attendance, and receive digital medical records
• Support the organization of technical visits with clients
• Manage the flow of medical certificates and leaves of absence, registering certificates in the system and liaising with the occupational physician
• Support periodic meetings with client companies by preparing agendas, reports, and supporting materials
• Support the resolution of client company outstanding issues in coordination with internal departments
• Perform related professional activities as required by the department and as directed by the immediate supervisor

• Manage a portfolio of lower-complexity clients through in-person, telephone, and/or digital channels, ensuring that each client receives prompt and accurate service according to their needs.
• Provide customer service with attentiveness, dialogue, and an understanding of client needs, clarifying questions and/or providing the necessary information regarding coverage processes for insurable and/or non-insurable benefits.
• Support clients with reimbursement requests and/or reimbursement estimates through in-person, telephone, and/or digital channels, ensuring the effective reimbursement of expenses incurred for care received outside the accredited provider network.
• Carry out the procedures required for market studies by collecting the data and/or information needed to complete quotation forms, identifying the best terms and benefits for the client within the renewal period.
• Monitor invoice issuance, copayment calculations, and cost allocations, ensuring that information is verified, deadlines are met, and deliverables comply with established criteria and standards.
• Prepare reports and/or presentations containing loss ratio indicators by organizing data and information and conducting quantitative and qualitative analyses, making policy results available to the client.
• Identify opportunities for improvement through process mapping, application of procedures, and workflow analysis, recommending actions that enable continuous improvement in customer service.
• Perform other related activities inherent to the position, as required by the department, through training, professional development, and guidance from the immediate supervisor, supporting continuous professional growth.