Claims Administrator Spanish speaking (espagnol)

Missions:

Ensure the proper execution of administrative tasks (follow-up of check-ups, registration of certificates and/or medical questionnaires, etc.) of the medical service in accordance with deadlines.
Manage customer relations with policyholders and/or healthcare providers, as appropriate, as well as diverse activities related to portfolio management.

Main Duties:

Follow the progress of the check-up workflow: 80%
 Ensure the proper implementation of customer requests
 Check the receipt of the certificates
 If necessary, contact the service providers to ensure that appointments are made
 Register the certificates and coordinate with the medical team in case of non-suitability answers
 Respond to policyholders (telephone and emails) on any questions regarding this service

Ensure the proper execution by members of the medical team of case management tasks: 10%
Participate in the reporting of the medical department: 10%

Required results:

Ensure the proper delivery of the service within the deadlines and according to the contractual rules.

Comply with operational quality standards to maintain a high level of customer service.

Required Experience:

Experience in an administrative position or in customer service

Optional experience:

 Experience in the insurance environment
 Experience of expatriation and/or a position with an international dimension

Education:
 Bachelors’ Degree Computer

Skills:
 Good knowledge of Microsoft Office applications
 Knowledge of internet and e-mail.

Languages: Spanish is obligatory, English and French

Necessary Skills & Abilities:

 Rigor and concentration
 Team spirit
 Good communication skills (by written and verbal)
 Speed and efficiency
 Sense of organization
 Sense of service