Sachbearbeiter Kranken Leistung (m/w/d) in Offenbach
Core
Process and approve private health insurance claims, including medical treatment plans and cost approvals, ensuring quality and service for customers.
Role type
Claims processing specialist (health insurance)
Builds
Approved health insurance payments and cost decisions for AXA customers
Domain
Insurance / Health
Deliverable
client delivery
Required skills
Claims assessment, medical necessity evaluation, regulatory compliance, customer communication, data entry, financial calculation
Preferred skills
Experience in private health insurance, knowledge of the German healthcare system, project involvement
Technologies
Rule-based systems
Responsibilities
Review and approve health and cost plans, process accident claims and recoveries, communicate claim decisions to customers, ensure service level compliance, handle pre-contractual disclosure checks
Seniority
Entry-level to Mid-level, individual contributor