Job Description

Main Duties/Responsibilities

  • Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
  • Monitor and highlight high cost claims and ensure relevant parties are aware.
  • Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
  • 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.
  • Interface effectively with internal and external customers to resolve customer issues.
  • Identify potential process improvements and make recommendations to team senior.
  • Actively support other team members and provide resource to enable all team goals to be achieved.
  • Work across European busines...

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