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German speaking Claims Advisor- Salary of £22,000- Poole
Our client a leading health insurance company based in Poole are looking for a German speaking Claims Advisor to join their team. You must be fully fluent in German for this role.
Duties:
·Manage claims from the point of notification until closure within agreed SLAs.
·Receive, translate and assess German claims documentation
·Where further information is needed, to undertake those investigations to obtain the information required by contacting the customer, the agent or the medical provider as necessary
·Validate the claim against policy terms and conditions and prepare the final paperwork for reimbursement or declinature.
·Provide guidance concerning the clinical necessity and appropriateness of medical treatment within the context of the German medical culture combined with the insurance policy terms and conditions.
·Liaising with internal or external people, including medical personnel, to discuss medical conditions and complex cases where required and record findings accurately.
·Audit of invoices to support cost containment activity including the identification of potential cases of unnecessary or excessive medical services or unreasonable charging in accordance with German law and / or best practice.
·Provide training to other staff to enhance knowledge.
·Assist the Underwriting team in reviewing medical information provided by prospective new policyholders to identify, assess and manage the risk presented.
Experience Required:
·Experience of working in or with the German health system so you are able to understand and interpret the codes used on invoices for medical services and identify what services have been provided and advise on whether such services are reasonable and appropriate.
·Fully fluent in German with excellent and confident communication skills, able to discuss all aspects of a claim, including medical conditions and treatment plans, with a variety of interested parties (predominately German nationals), including medical personnel, customers and intermediaries, to explain medical and insurance concepts simply and unambiguously over the phone and in writing.
·Computer literate and proficient in the use of Microsoft Office.
If you are interested in the German speaking Claims Advisor role or would like more information please submit your CV.
All applications will be treated with the strictest of confidence.
Bond Williams Professional Recruitment are an equal opportunity employer and operate as an Employment Business and Recruitment Agency
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