Claims Handler
il y a 1 jour
**Claims Handler**
**Location: Brussels**
**Reporting to: Manager Business Support**
Looking for a business analyst job in an open and dynamic environment? Are you interested in contributing to the development of tomorrow's healthcare? Discover our vacancies and contact us
**Our organisation**
AXA Partners is dedicated to designing tailored solutions that combine insurance, protection and assistance to protect what counts on important moments.
The mission of our Healthcare department is to be a solid and reliable healthcare partner for our clients. We put all our professionalism into supporting our clients in the best possible way so that they can go about their hospitalization or care in general without any worries. This in the context of hospitalization insurance, insurance for outpatient expenses or serious illness, and in offering additional health-related services.
Customer orientation is our DNA and our availability and willingness to listen ensure a customized approach.
As a part of the AXA Group, our 8500 employees across 30 countries share the same mission: to empower people to live a better life.
AXA Partners is the market leader in Belgium and the Belgian team consists of over 400 people.
**Position summary**
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
LI-BE
**Your Profile** Behavioural skills required**
- Customer centricity (Level 4)
- Listening & communicating (Level 4)
- Decision & execution (Level 4)
- Influence & conciliation (Level 3)
- Empathy (Level 4)
**Technical skills required**
- Customer needs analysis (Level 4)
- Specialized claims (Level 3)
- Case management (Level 4)
- Negotiation (Level 3)
- Third party management (Level 4)
**What do we offer?**
Permanent employment type in a dynamic environment with interesting career opportunities, an attractive salary package with extra-legal benefits (group insurance, health insurance ) and a good work life balance with 3 days homeworking and 2 days at the office.
**About AXA**
AXA Group is the world leader in insurance and asset management. We protect and advise our clients at every step in their lives, by offering products and services which satisfy their needs in the areas of insurance, personal protection, saving and asset management. AXA is the leading insurance brand worldwide, with over 100 million clients. We are transforming from payer to partner for our client, with a strong focus on risk prevention.
Our mission: Empower people to live a better life.
Our values: Customer First, Courage, Integrity and One AXA.
**About the Entity**
AXA Partners is an AXA transversal business unit offering a wide range of solutions in assistance services, travel insurance and credit protection.
AXA Partners’ role is also to implement innovative solutions emerging from the AXA Innovation unit.
Combining passion with advanced expertise, we design and deliver worldwide solutions for partners and communities. We protect what matters, when it matters.
**What We Offer**
By joining AXA Partners, you will work in a responsible company, which offers a real culture of expertise & diversity. Our focus is on accelerating the development of everyone’s skills, whilst offering attractive and competitive compensation and opportunities for professional development and growth.
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