2 дня назад
PSO Claims Representative (Health Insurance)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
PSO Claims Representative (Health Insurance): Processing and assessing medical expense claims within defined turnaround times with an accent on accurate reimbursements, confidential data handling, and cost management. Focus on analyzing unclear claims, tracking workload and processing timelines, and identifying procedure irregularities and process optimization opportunities.
Location: Madrid, Spain
Company
is a global health service company providing healthcare products and services, disability, life and accident insurance, and international insurance.
What you will do
- Assess and process medical expense claims within defined turnaround times.
- Enter claim data accurately into PC and mainframe applications.
- Manage personal workload by monitoring claim chronology, volume, and processing time.
- Identify unclear claims, procedural irregularities, and process optimization opportunities, escalating them to the Supervisor.
- Communicate accurate dossier information to internal employees and raise problems or sensitivities with the appropriate superior.
- Handle medical information discreetly while maintaining high-quality, accurate, and efficient claims processing.
Requirements
- Degree or equivalent experience in foreign languages, translation and interpreting, administration, or a related area.
- Active knowledge of English is required.
- Ability to make decisions based on available information and allocated files.
- Strong numerical skills, accuracy, discipline, and attention to procedures and document flows.
- Ability to learn and use current office applications.
- Ability to work effectively in a team and handle confidential medical information discreetly.
Nice to have
- Spanish, Italian, Portuguese, Greek, German, Dutch, or French.
Culture & Benefits
- Work in an agreeable and amicable team atmosphere.
- Contribute to improving customer health, well-being, and sense of security.
- Support better health through guidance and access to healthcare information and services.
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