Claims Representative

Scope

Critical analysis and processing of claims for medical expenses within the fixed turn around time.
 

Job content

Claims processing

• Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.

• Accurate data input to the system applications.

• Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods.

• Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.

• Participate efficiently in processing the flow of claims: inform the Team Leader about claims lacking clarity and about possible ways of optimizing the processes.

• A sustained effort towards high-quality claims handling, accurate reimbursements and f...