Specialist Outpatient Benefits
- Employment type
- Full-time
- Workload
- 100%
- Location
- Winterthur
- Company
- ÖKK Holding AG, 8400 Winterthur
- First posted
What awaits you:
- Processing of demanding outpatient benefit cases (KVG/VVG)
- Examination and processing of outpatient cost guarantees taking into account legal, tariff, and internal specifications
- Processing of email inquiries, telephone calls, and written correspondence
- Independent insurance-technical clarifications in cooperation with the medical advisor
- Communication of benefit decisions to insured persons and service providers, as well as professional support and advice for service providers, internal specialist departments, agencies, and policyholders
- Training and professional support of new employees
- Co-design and optimization of processes and regulations with a focus on quality, efficiency, and digitalization
What you bring with you:
- Medical or commercial basic training
- Further training in the field of social insurance
- Experience in a comparable function, ideally in the health insurance sector
- Very good knowledge in benefit examination and high affinity for legal issues
- Committed, independent, and resilient personality
- Strong communication and negotiation skills
- Analytical thinking skills as well as a structured and solution-oriented way of working
- Proficient German skills in speaking and writing, further language skills are an advantage
Do you have questions about this position?
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Posted 1 week ago