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Specialist Outpatient Benefits

ÖKK Holding AG

Employment type
Full-time
Workload
100%
Location
Winterthur
Company
ÖKK Holding AG, 8400 Winterthur
First posted
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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

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