Our client is a leading worldwide Insurance company providing group healthcare programmes for many large organisations. Due to ongoing expansion this company now require experienced Customer Service Advisors who are fluent in German (speaking, reading, writing)
This is a fantastic opportunity to join a world leading company who offers a competitive salary and benefits package, top class training programme and excellent career progression. In this position you will be responsible for providing and maintaining exceptionally high levels of customer service. Reporting to the Team Senior you will take calls from members and clients and handle enquiries in a timely and professional manner. Candidates must be experienced in customer service and have a stable work history.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Monitor turnaround times to ensure claims are settled within required time scales, highlighting when this is not achievable.
Monitor and highlight high cost claims and ensure all relevant parties are aware.
Provide payment guarantees as required to members and providers.
Interface effectively with internal and external customers to resolve customer issues.
Liaise with medical management team, providing pre-authorisation of policy benefits, while monitoring against medical underwriting decisions.
Identify potential process improvements and make recommendations to appropriate management staff.
Actively support all team members and provide resource to enable all operational goals to be achieved.
To be considered for this position you must be fluent in German and English (reading, writing and speaking) Have a pro-active approach to customer service and is able to solve problems, have a strong customer focus and be able to organise, prioritise and manage workflow.
To apply please send and up to date CV and cover letter detailing you suitability for the role.
Kelly services are operating as an employment Agency in relation to this vacancy. stvjobs.com - 9 months ago