Medical Claims Examiner Assistant

vor 4 Wochen


Genf, Genf, Schweiz WHO Vollzeit

Job Description

The Medical Claims Examiner Assistant is a critical role within the WHO team, responsible for ensuring the accuracy and efficiency of medical claims processing.

  • Verify medical claims against established rules and guidelines, collaborating with senior staff to ensure compliance.
  • Ensure timely submission of claims, verifying proof of payment and checking for completeness.
  • Process daily claims through the SHI Online system, maintaining accurate records and data entry.
  • Escalate complex claims to senior staff, requesting medical reports as needed.
  • Prepare input documents for computer processing, ensuring seamless claims execution.

Requirements

Education

Essential:

Completion of secondary school education or equivalent

Experience

Essential:

At least 2 years of clerical experience in an administrative/office environment, with a service-oriented focus

Desirable:

  • Experience in UN-system health insurance and/or commercial health insurance companies.
  • Multicounty/international experience, particularly in WHO and/or other UN Organizations, with expertise in WHO SHI rules, WHO staff rules, and Financial Regulations.

Skills

  • Skillful management of workload, prioritizing tasks and handling unusual requests.
  • Effective communication, diplomacy, and courtesy when dealing with sensitive healthcare providers and staff.
  • Responsible for ensuring confidentiality and handling cases of potential fraud or anomalies.
  • Efficient organization of time and priorities, working proactively to avoid loss of time.
  • Responsible for maintaining quality and consistency of data entry and ensuring files are complete and organized.

WHO Competencies

  • Teamwork
  • Respecting and promoting individual and cultural differences
  • Communication

Language Skills

Essential:

Expert knowledge of French

Desirable:

Intermediate knowledge of English



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