Job Summary

Join a leading provider of group healthcare programmes for employees of large multinational organisations and their families as a Claims Senior Representative

  • Minimum Qualification: Bachelor
  • Experience Level: Mid level
  • Experience Length: 2 years

Job Description

Active language knowledge: English + additional language (French, Portuguese, other)

As a senior claims representative, you will support the claims supervisor in managing a team of Claims Analysts. Key to the role will be developing and coaching the team to deliver a high quality customercentric service offering. 

Your role includes:
  1. Accountable to review and assess inventory levels co-ordinating daily allocations and planning ahead to maximise staffing levels to maximise results.
  2. Assisting in recommending and implementing innovative strategies to improve efficiency and provide excellent customer service.
  3. Delivers specific delegated Claims tasks assigned by a supervisor.
  4. Completing day-to-day tasks without immediate supervision, but ready to take advice from more experienced team members.
  5. Resolving non-routine issues escalated from more junior team members.
  6. Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
  7. Being responsible for follow-up of capacity planning and absences in close cooperation with HR
  8. Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, well being and performance by providing coaching and skill development in collaboration with the Claims Management Team.
  9. Ensure appropriate performance management actions are taken Having quarterly check-in conversations with all team members
  10. Promote a culture of continuous improvement and be fully responsible for the implementation of new ways of working and the measurement of the results in alignment with the broader Claims Strategy and in coordination with the Management Team Option to take over SPOC role for particular clients/accounts if required
  11. Represent the Organisation during client visits, absences, stakeholder meetings, or act as a relationship person towards some our strategic partners.
  12. Together with the claim representatives, you are responsible and accountable for the implementation of new clients/renewals/changes for existing clients that belong to your book of business
  13. Process claims or support the financial verification

  • Degree in relevant field
  • 2 years of Claim experience, or relevant leadership experience in other functions/companies
  • Language French, Portuguese and any other
  • Strong performance track record
  • International mind-set, with holistic and able to work remotely with peers across locations
  • Experience in and passion for coaching, managing, developing and motivating individuals and the team.
  • Experience in claims handling internal or through previous experience in similar industry (competitor), active contributor in improvement actions; good language knowledge English + additional language (French, Portuguese, other) is a plus
  • Experience in complaint management - with a proven track record in improving customer service standards
  • Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, Powerpoint.
  • A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
  • Excellent interpersonal skills: strong empathy and listening skills, strong articulation and communications skills
  • Striving for excellent service to our members, clients and providers is part of your DNA.
  • Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members
  • Action-orientated problem-solving attitude
  • Excellent organisation, planning and prioritisation skills
  • Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues
  • Results orientated – ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes. Create meaningful business related metrics and track progress/results
  • Accountability – assume ownership for achieving personal results and collective team goals

  1. A challenging job in an international and growing enterprise.
  2. A dynamic, young and entrepreneurial company culture that values and stimulates initiative.
  3. Attractive salary conditions with benefits package

If you are interested in this position, apply online.

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