Claims Officer
il y a 8 heures
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.
**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
LI-BE
**Your Profile** SKILLS AND EXPERIENCE**
Behavioural skills
- Customer centricity
- Listening & communicating
- Decision & execution
- Influence & conciliation
- Empathy
Technical skills
- Customer needs analysis
- Specialized claims
- Case management
- Negotiation
- Third party management
LI-BE
**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.
Additionally, at AXA, we work to make a real difference to people - when amazing things happen and when we create opportunities for a better life, the feeling of pride is extraordinary.
Join a company that helps protect the forests At AXA Partners, we plant a tree for every new recruit (with a permanent contract).
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