Sachbearbeiter (m/w/d) Leistungsabrechnung Key Account
Core
Processing and approving performance cases, reviewing contractual claims within cost commitments, and managing member/partner inquiries for a key account.
Role type
Senior claims processing specialist (Key Account)
Builds
Cost commitments and claims settlements for private health insurance members
Domain
Health insurance / Private health insurance
Required skills
Insurance and finance training, knowledge of insurance contract law, knowledge of data protection regulations, knowledge of reimbursement laws and social security law
Preferred skills
Experience in private health insurance or statutory health insurance
Responsibilities
Processing, reviewing, and approving performance cases; Reviewing and processing contractual claims within cost commitments; Managing correspondence with members, group contract partners, insured persons, and brokers; Coordinating with supervisors and internal/external contacts