Expert Medical Claims Handler (Risk & Selection)

Process and manage complex medical claims acceptances from A to Z;Be the point of contact for employees in the event of a difficult case to satisfy the customer while respecting the rules and procedures of the organization;Maintain a professional relationship with clients and/or brokers by ensuring...

Description

  • Process and manage complex medical claims acceptances from A to Z;
  • Be the point of contact for employees in the event of a difficult case to satisfy the customer while respecting the rules and procedures of the organization;
  • Maintain a professional relationship with clients and/or brokers by ensuring proactive contact (telephone, email and sometimes visits) with them in order to propose solutions that meet their interests and those of the organization;
  • In some cases, visit clients with the Account Manager, the Manager or colleagues in order to negotiate the terms and conditions of the files (statement, deadlines, etc.) and to assist the Account Manager in proposing technical solutions to satisfy the client;
  • Support and assist colleagues (Professionals, Managers, IT entity) and clients in the analysis of complex issues;
  • Lead and participate in projects to improve work methods and procedures in order to satisfy the customer and optimize service quality and productivity;
  • Participate in the pilot phase of new activities impacting directly or indirectly on the team's activities in order to bring its knowledge of the business and achieve the project's objectives;
  • Participate in the drafting of work instructions, centralize documentation, information and disseminate it to the team to ensure and improve the quality of service to the customer;

Your profile

  • You have a Bachelor's degree - Master's degree OR you have the equivalent in work experience
  • You have at least 3 years of proven experience in medical claims acceptance, which has allowed you to develop a high level of technical expertise in this field OR You are currently working in the medical sector and you wish to reorient yourself
  • You have an excellent knowledge of French or Dutch and a good knowledge of the other language
  • You are customer and solution oriented and enjoy working with numbers
  • You communicate in an assertive and commercial manner
  • You organize and plan your work very independently
  • Experience in the medical sector is an asset as your knowledge of medical jargon will be a great help!

Offer

Our client, ideally located in Brussels and well known on the market, offers you a permanent contract in a warm and supportive team where a constructive and pleasant working atmosphere prevails. This, for an attractive salary and competitive extra-legal benefits. Our client also offers you a very good work-life balance thanks to its very flexible working arrangements!

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