Gestionnaire prestation emprunteur
Core
Manage borrower insurance claim files, analyze incidents against contract guarantees, process payments, and handle member inquiries and disputes.
Role type
Claims administrator (borrower insurance)
Builds
Payment settlements and claim decisions for borrower insurance members
Domain
Insurance and social protection
Deliverable
client delivery
Required skills
Claims analysis, contract guarantee knowledge, payment processing, member communication, dispute handling, medical report review, Microsoft Office
Preferred skills
Masteri software knowledge
Responsibilities
Analyze claim files regarding incidents and contract guarantees; Study files and transmit them to the Medical Council for validation; Follow up on medical expertise; Process payment letters and reconcile with accounting; Handle member calls and first-level dispute responses; Adapt correspondence and transmit refusal files to the Medical Service.