Claims Assistant

This post is located in the Medical Insurance Section, Financial Resources Management Service, Division of Administration of the United Nations Office at Geneva. The incumbent reports to the Administrative and Benefits Officer of the Medical Insurance Section.

**Responsibilities**:
Under the supervision of the Administrative and Benefits Officer of the Medical Insurance Section, the incumbent will be responsible for the following duties:
1. Tasks related to the processing of medical claims
- Processes health insurance claims;
- Checks claims, prior authorizations and supporting documents; checks benefits and related costs;
- Verifies and validates expenses, uses accurate reimbursement codes and effects data validation in the New Health Insurance Information System (NHIIS) and the e-Claims portal of UNSMIS;
- Assists in responding to complex queries relating to high value medical claims (for example hospitalization, accidents, medical evaluations) and to requests from many different countries;
- Researches necessary information related to accidents of staff members during the performance of official duties or involving a third party;
- Timely follow-up of pending files.

2. Tasks related to the verification of payments
- Analyzes the list of pending payments and the list of pending claims.

3. Other tasks
- Assists in drafting responses to insured members;
- Archives medical claim files;
- Assists with periodical quality checks of medical claims;
- Performs other duties as assigned by the supervisor.

Competencies

Teamwork: Works collaboratively with colleagues to achieve organizational goals. Solicits input by genuinely valuing others’ ideas and expertise; is willing to learn from others. Places team agenda before personal agenda. Supports and acts in accordance with final group decision, even when such decisions may not entirely reflect own position. Shares credit for team accomplishments and accepts joint responsibility for team shortcomings.

Planning and organizing: Develops clear goals that are consistent with agreed strategies. Identifies priority activities and assignments; adjusts priorities as required. Allocates appropriate amount of time and resources for completing work. Foresees risks and allows for contingencies when planning. Monitors and adjusts plans and actions as necessary. Uses time efficiently.

Education
High school diploma or equivalent is required.

Work Experience
At least five (5) years of experience in administration, finance, accounting or related area is required.

Out of these five years, two (2) years' experience within the United Nations Common System is desirable.

Experience in dealing with complex medical insurance claims such as hospitalization or claims in different currencies and languages is desirable.

Languages
English and French are the working languages of the United Nations Secretariat. For the position(s) advertised, fluency in English and French is required. Knowledge of another official United Nations language is desirable.

Assessment

Special Notice

United Nations Considerations

Due regard will be paid to the importance of recruiting the staff on as wide a geographical basis as possible. The United Nations places no restrictions on the eligibility of men and women to participate in any capacity and under conditions of equality in its principal and subsidiary organs. The United Nations Secretariat is a non-smoking environment.

Applicants are urged to follow carefully all instructions available in the online recruitment platform, inspira. For more detailed guidance, applicants may refer to the Manual for the Applicant, which can be accessed by clicking on “Manuals” hyper-link on the upper right side of the inspira account-holder homepage.

Job openings advertised on the Careers Portal will be removed at 11:59 p.m. (New York time) on the deadline date.

No Fee
THE UNITED NATIONS DOES NOT CHARGE A FEE AT ANY STAGE OF THE RECRUITMENT PROCESS (APPLICATION, INTERVIEW MEETING, PROCESSING, OR TRAINING). THE UNITED NATIONS DOES NOT CONCERN ITSELF WITH INFORMATION ON APPLICANTS’ BANK ACCOUNTS.