Sachbearbeiterin (m/w/d)
Core
Processing insurance claims and payments within the German statutory health and nursing insurance system.
Role type
Claims processing specialist (statutory health insurance)
Builds
Payment approvals and claim adjudications for insured individuals
Domain
Health insurance / Social security administration
Required skills
Claims adjudication, payment calculation, case file management, MS Office (Excel, Word), knowledge of statutory health and nursing insurance regulations
Preferred skills
Experience with sick pay (Krankengeld), familiarity with specialized insurance software
Responsibilities
Independently process performance claims according to legal regulations, verify and instruct payments with high accuracy, manage and archive case files, support objection and review procedures, serve as contact person for insured persons and internal departments, create reports and analyses to optimize internal processes