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Since its foundation, the Foyer has become Luxembourg's primary insurance provider thanks to its unerring ability to listen and respond to its customers' needs. Today, the European Union poses many new challenges while at the same time opening up a host of new opportunities.

The Group's mission is to strengthen its leading position on the domestic market while expanding its financial sector services and developing its niche business beyond Luxembourg's borders. To succeed in this mission, the group makes use of Luxembourg's many advantages within this European framework.

Foyer Global Health is the specialist expatriate brand from Luxembourg's leading insurance company Foyer.

As part of our expansion, Foyer Global Health is seeking for a:

Claims Administrator / Sachbearbeiter Leistung (m/f)
(ref: 230617)

As Claims Administrator you will assist our individual - and group clients in all claims related matters and offer support throughout the full policy lifecycle. You will work in a team to diligently administer claims in accordance with internal and external guidelines and regulations.

Your tasks : :

  • Support our clients with all claims related requests from referral through to discharge.
  • Ensure that all tasks are performed within the foreseen turn-around-times, providing a high level of customer service at all times.
  • Issue pre-authorisations, guarantees of cover and guarantees of payment in line with our product's terms and conditions.
  • Obtain medical evidence and additional information from providers if needed to substantiate claims.
  • Maintain and document accurate records within our IT systems including all communication with clients and providers.
  • Audit provider invoices and client reimbursement requests by checking the validity of the claim e.g. related to insurance period, pre-existing conditions, medical necessity, reasonable and customary rates.
  • Escalate any complaints or call backs in a timely manner.
  • Handel all claims related communication directly with clients, providers, intermediaries and other internal and external stakeholder members as required.
  • Undertake other business activities and tasks as required, ensuring ongoing operational effectiveness, efficiency and positive contribution to Foyer Global Health.
  • Coordinate medical assistance requests (e.g. evacuations) by liaising with assistance partners.
  • Support the creation of an international health care provider network by managing provider data and liaising with health care providers to obtain a direct billing and / or discount agreement.

Your Profile :

We are looking for a new colleague with the following areas of expertise:
  • A Bachelor's degree in business, medical or related field from an accredited college or university or experience of 2 years, preferably in an insurance- or medical-related field. Previous experience with direct customer service.
  • PC skills with good knowledge of Microsoft packages and the ability to effectively manage computer technology, typing and word processing.
  • Strong customer focus with Strong diplomatic communication at all levels; verbally and written to build and maintain internal and external relationships.
  • A positive, helpful attitude, willing to work co-operatively with other members of the team with a good commercial awareness and with the ability to make decisions with the “bigger picture” in mind.
  • Able to effectively communicate with the clients, brokers, and other stakeholders at all levels of the organization.
  • Able to work in a team as well as autonomously and able to exercise professional judgement with the ability to identify when it becomes appropriate to escalate a problem.
  • Well-organized, accurate and attentive to detail and able to prioritize work and multi-tasks to meet deadlines.
  • Able to work effectively under pressure and maintain a high degree of judgement, especially when working with information that is confidential in nature.
  • Highly adaptable, with a flexible approach to work, willing to do what is required to ensure that the team achieves its objectives while remaining focused on quality.
  • A pro-active approach to work with analytical problem solving skills.
  • Ability to solve problems and deal with a variety of variables in situations where only limited standardization exists.
  • You are fluent in German and English (French and any other language skills would be considered as an asset).

Intéressé ?

Si vous vous reconnaissez dans ce profil, merci de postuler en ligne en déposant votre CV avec photo récente ainsi qu'une lettre de motivation.