Finance Supervisor

POSITION TITLE: Finance Supervisor - Claims and Liability

Business Unit: Maxicare Healthcare Corporation

Level: Supervisor

Reporting Line: Assistant Manager

Position Accountability Statement

The Finance Analyst / Supervisor – Claims and Liability is held accountable for ensuring the total accuracy, integrity, and timely reconciliation of Maxicare Healthcare Corporation's primary financial liabilities, specifically medical claims, capitation fees, and IBNR (Incurred But Not Reported) reserves.

Serving as the primary gatekeeper for the General Ledger (GL) liability accounts, this position bridges operational claims systems with accounting ledgers, enforces strict compliance with financial reporting standards (PFRS/IFRS), and maintains rigorous cross-functional review of all operational payable schedules to guarantee balance sheet precision, liquidity support, and audit readiness.

Job Description

This role is focused on the integrity of the HMO's core financial obligations, centered primarily around its largest liability: medical claims. This analyst acts as the vital bridge between the Operational Claims System and the General Ledger (GL)—ensuring that what the HMO owes to hospitals, doctors, and members is perfectly reconciled and accrued—while also maintaining strict oversight and review of all other operational payable schedules to guarantee comprehensive ledger accuracy.

STANDARD RESPONSIBILITY STATEMENTS

• Claims System vs. GL Reconciliation
• Perform daily/weekly reconciliations between the operational claims processing system and the accounting General Ledger.
• Identify, track, and resolve system-to-ledger timing differences or data transmission gaps.
• Liability Accruals & Actuarial Coordination
• Calculate and post monthly accruals for unpaid claims and capitation fees.
• Collaborate closely with the Actuarial Team to ensure accurate reporting and adjustment of IBNR (Incurred But Not Reported) reserves.
• Discrepancy Resolution
• Investigate variances regarding overpayments, underpayments, rejected claims, and double- billings.
• Partner with the Claims Operations team to resolve systemic errors and streamline billing accuracy.
• Cross-Functional Asset GL Review
• Review liability-related GL schedules prepared by other internal groups (specifically the Finance and Treasury teams) to ensure proper asset classification, valuation, and completeness.
• Act as the central gatekeeper for all balance sheet liability items.
• Evaluate the accuracy, consistency, and quality of submitted schedules, recommending adjustments, corrections, and process improvements where necessary.
• Coordinate with process owners to resolve discrepancies, strengthen supporting documentation, and enhance the overall quality of liability-related reconciliations.
• Aging Reports & Liquidity Management
• Maintain and analyze aging schedules for claims and other liabilities to ensure timely payouts and avoid provider or vendor disruptions.
• Highlight overdue items or critical aging thresholds to management for cash flow planning.
• Review, validate, and endorse IBNR-related accounting adjustments and supporting schedules prepared in coordination with the Actuarial Team, ensuring compliance with accounting policies and accurate financial reporting.
• Resolve liability-related variances, prepare audit-ready supporting schedules, and support the timely completion of the month-end financial close.
  
  

EDUCATIONAL REQUIREMENT

• Bachelors degree in Accountancy
• CPA designation is an advantage but not required
  
  

SKILLS REQUIREMENT – EXECUTIVES AND MANAGERS (sample)

• Strong knowledge of accounting principles and financial reporting standards (e.g., PFRS/IFRS).
• Proficient in Microsoft Excel; knowledge of Oracle Cloud ERP is an advantage.
• Experience in the insurance or financial services industry is an advantage