Overview
The Claims Assistant will process health insurance claims, verify expenses, and respond to queries related to medical claims. The role also involves verifying payments and archiving claim files.
Key Responsibilities
- Processes health insurance claims.
- Checks claims, prior authorizations and supporting documents.
- Verifies and validates expenses, uses accurate reimbursement codes and effects data validation.
- Assists in responding to complex queries relating to high value medical claims.
- Researches necessary information related to accidents of staff members.
- Timely follows-up on pending files.
- Analyzes the list of pending payments and the list of pending claims.
- Helps checking discrepancy lists and reconciliations of payments.
- 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.
Required Experience
At least five (5) years of experience in finance, accounting or related areas are required. The minimum years of relevant experience is reduced to three (3) for candidates who possess a first-level university degree or higher. At least two (2) years' experience within the United Nations Common System or in a similar international organization is desirable.
Qualifications
High school diploma or equivalent is required. Specialization in accounting is desirable.
