Claims Officer - French Speakers

Location
Dublin West, Dublin
Salary
Up to EUR25000 per annum
Posted
15 Nov 2018
Closes
13 Dec 2018
Ref
ALZ
Contact
Audrey Casier
Job Type
Permanent
Hours
Full-time
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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