Claims Officer Domestic
il y a 5 jours
AXA Partners is AXA’s global entity dedicated to co-building and distributing with partners simple, customer-centric and innovative solutions that combine insurance, assistance and other value-added services.
As an integral part of the Group Innovation unit, AXA Partners also plays a key role in the deployment of disruptive solutions emerging from this innovation ecosystem.
The combination of both missions positions AXA Partners today as a key pillar of AXA’s Payer-to-Partner strategy.
With the support of operating units established in 39 countries, our more than 9,000 employees are at the service of our customers anywhere, anytime.
In 2017, AXA Partners’ revenues reached €3.2 billion.
**DIMENSIONS OF ROLE**
On behalf of third parties, the OPS Claims Handler optimizes customer experience by providing full claims handling (complete claims management) until the work is completed or the customer is compensated. He/she works in close collaboration with all stakeholders making sure that all parties are actively involved until the claim is settled.
**KEY RESPONSIBILITIES**
Claims Management:
- Handle situation's diagnosis and analysis to qualify the type of damage/claim
- Open a file to register the client's supporting documents allowing the claim to be reviewed
- Analyze each aspect of customer's situation, in relation to brokers and experts, by comparing them with the policy wording
- In the context of medical files, execute all necessary tasks with varied stakeholders in order to obtain the medical decisions
- Make a decision to accept or reject a claim and determine the cost to be covered according to Terms &Conditions
- Activate the indemnity payment or initiate the repair in kind, according to company policy and the customer choice
- Motivate the decision taken to the insured
- If the customer wishes to be compensated, assess precisely the amount of compensation to be paid to the customer
- Perform administrative file follow-up and claim's financial follow-up
- Inform third parties about the claim management progress
- Performs all initiatives necessary to obtain the medical decision (share documents, follow up ) in order to settle the claim and stick to the decision of the medical staff
- Give support to other teams with the handling of scheduled tasks (providers’ follow up, MRH agendas, incoming calls,)
Guarantee an optimal relationship with the client:
- Ensure the examination, response, and follow-up of any complaints in collaboration with the Customer Care department
- Proactively request additional information from the policyholder or broker, if necessary, in order to release incomplete files
- Coordinate the exchange of information with all parties concerned (internal and external)
- Ask management’s validation for files that are beyond their competence
**Votre Profil** SKILLS AND EXPERIENCE**
Behavioural skills
- Customer centricity (Level 4)
- Listening & communicating (Level 4)
- Decision & execution (Level 4)
- Influence & conciliation (Level 3)
- Empathy (Level 4)
Technical skills
- Customer needs analysis (Level 4)
- Specialized claims (Level 3)
- Case management (Level 4)
- Negotiation (Level 3)
- Third party management (Level 4)
**A propos d'AXA**
Le Groupe AXA est un leader mondial de l’assurance et de la gestion d’actifs, avec 160 000 collaborateurs au service de 105 millions de clients dans 62 pays.
Nous protégeons et conseillons nos clients à chaque étape de leur vie, en proposant des produits et services qui répondent à leurs besoins dans les domaines de l'assurance, de la prévoyance, de l'épargne et de la gestion des actifs.
Notre mission: Donner à chacun les moyens de vivre une vie meilleure.
Nos valeurs: Customer first, Intégrité, Courage et One AXA
**A propos de notre entité**
AXA Partners est une BU transversale d’AXA qui propose une large gamme de solutions en matière de services d’assistance, d’assurance voyage et de couverture de crédit.
Le rôle d’AXA Partners est aussi de mettre en œuvre des solutions innovantes issues de l’unité AXA Innovation.
Conjuguant passion et expertises de pointe, nous concevons et déployons des solutions à l'échelle mondiale pour nos partenaires, leurs clients et leurs collaborateurs, pour protéger ce qui compte dans les moments importants.
**Pourquoi nous rejoindre ?**
En rejoignant AXA Partners, vous travaillerez dans une entreprise responsable qui offre une véritable culture d'expertise et de diversité. Notre objectif est d'accélérer le développement des compétences de nos collaborateurs, tout en proposant une rémunération attractive et compétitive ainsi que des opportunités d’évolution professionnelle. Au sein du Groupe AXA, nous œuvrons tous ensemble pour donner à chacun les moyens de vivre une vie meilleure et c’est une fierté extraordinaire.
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