IRF Compliance Analyst

Overview

Visa is hiring an IRF Compliance Analyst to review and validate client-submitted documentation supporting IRF claims processing and to maintain claims records and audit trails.

What you'll do

• Review and validate client-submitted documentation to support IRF claims processing.
• Ensure completeness, accuracy, and consistency of claim records and supporting evidence.
• Upload, organize, and maintain documentation within designated claims management systems and repositories.
• Execute end-to-end IRF claims review and validation activities in accordance with established policies, procedures, and service levels.
• Analyze client-submitted documentation and transaction data to determine claim eligibility and support claim adjudication.
• Investigate claim exceptions, discrepancies, and processing issues, escalating matters as appropriate.
• Partner with regional stakeholders, operations teams, product teams, and compliance functions to resolve claim-related inquiries.
• Maintain accurate records, audit trails, and supporting documentation for claims decisions.
• Develop and maintain reporting, dashboards, and KPIs to monitor claims inventory, processing efficiency, and program performance.
• Identify opportunities to improve operational controls, process efficiency, and automation within the claims lifecycle.
• Participate in periodic reviews, quality assurance activities, and strategic initiatives related to interchange compliance and claims operations.

What you'll need

• 2-4 years of experience post MBA.

Nice to have

• Data science background.

Details

• Hybrid position; days in the office to be confirmed by the Hiring Manager.