Scope

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

Job Description

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

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 oneself analytically and critically in the context of cost management and in respect of existing working methods.
• Following up personal 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,...