Claims Officer - German (AHK 16-021)


About the company

Headquartered in Dublin, our client specializes in providing international health insurance for employees, individuals and their dependents, wherever they are in the world. The company is able to draw on the resources and expertise of one of the world’s leading insurers and financial services providers. They are employing  over 850 people worldwide.

Role description

The role of Claims Officer involves processing medical claims for client’s worldwide, form Australia to Germany and Brazil to the Netherlands, all countries are catered for. A high level of client service has to be ensured while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures.

Key Responsibilities:

  • Adjudicate and process Claims within the agreed company SLA -  clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
  • Use AWC’s client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
  • Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
  • Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
  • In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
  • Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
  • Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
  • Other Ad hoc duties as required 

Experience Required:

  • Previous experience in a customer focused role, in a an administrative capacity
  • Experience working in pressurised environment with tight deadlines
  • Fluency in English and German is essential to this role
  • Behavioral Competencies
  • Customer focused
  • Strong communication (verbal & written)
  • Ability to work effectively within a team environment
  • Honesty and Integrity
  • Ability to work under pressure
  • Results driven and solution oriented
  • Technical Competencies
  • Strong Knowledge of Microsoft Office (Excel, Word)

Location: Dublin

Application: Please send two copies of your CV (second copy with your name on it, but personal details section blank), your certificates and cover letter to: 

 recruitment@DEinternational.ie.

We are looking forward to receiving your application under the reference number AHK 16-021.

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