Claims Officer - French Speakers

Dublin West, Dublin
Up to EUR25000 per annum
15 Nov 2018
13 Dec 2018
Audrey Casier
Job Type
The role of Claims Officer involves processing medical claims for client's worldwide, form Australia to Germany and Brazil to the Netherlands, all countries are catered for.

Main Responsibilities:

- Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
- Use AWC`s client database accurately and effectively to ensure reports generated give a true reflection of the department`s workload, which consequently facilitates effective target planning
- Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
- Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
- In line with the company`s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
- Respond to customer enquiries accurately and professionally and if necessary, liaise
with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
- Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
- Other Ad hoc duties as required
Experience Required
- Previous experience in a customer focused role, in a an administrative capacity
- Experience working in pressurised environment with tight deadlines
- Fluency in English and German is essential to this role

Behavioural Competencies

- Customer focused
- Strong communication (verbal & written)
- Ability to work effectively within a team environment
- Honesty and Integrity
- Ability to work under pressure
- Results driven and solution oriented

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