Claims Analyst – French (hybrid work)

ABC Human Capital este urmarea fireasca a experientei castigate de fondatorul companiei, in acest domeniu vast, complex, provocator, in continua miscare si schimbare al resurselor umane.
Anul 2005 a reprezentat momentul concretizarii unui ideal: fondarea unei agentii de recrutare si executive search ce pune la dispozitia clientilor sai atat consultanta in recrutare si headhunting, precum si intreaga gama de servicii aferente capitalului uman.
Adaptam cu succes noile tendinte din domeniul Resurselor Umane si utilizam creativ oportunitatile pe care le ofera mediul economic pentru atingerea target-urilor comerciale si de comunicare ale partenerilor nostri.
Activitatea noastra se traduce in solutii inteligente bazate pe baze de date complete si complexe, aplicatii web, portaluri de informare si socializare, baterii de teste concepute si implementate impreuna cu fiecare dintre parteneri, campanii de marketing online si headhunting.

We will be pleased to welcome you in our team, if you have:
 Business expertise:
1-3 years experience in claims assessment
 Knowledge of IT systems:
Good user of MS Office package, especially Excel (intermediate level)
Good user of IT tools in general
 Language skills:
Fluent in French (both written and verbal) – mandatory
Good English level required
 Interpersonal skills:
Comfortable with figures, analytical skills with attention to details and decision making skills
Good communicator / ability to convince about decisions taken
Good organizational skills, proactivity

Ability to stay calm under pressure and occasionally manage higher volumes of work with accuracy
Very good problem solving skills
We offer:
 Dynamic and multinational working environment
 Opportunity to learn and grow – on the job as well as language or professional training
 Open company culture, flexible working hours / possibility of working from home
 A wide range of employee benefits – meal vouchers, gift vouchers, performance bonus, public transportation allowance, extra personal days, premium health insurance, fruit day, discounts;
 Full time permanent contract
 Modern and accessible offices

 Claim Assessment of the new claims: Check the accuracy of the datas and assess the claims in order to set the insured amount for each of them and
inform the Policy Holder
Data accuracy
– Check the accuracy of the datas and if needed, correct or remove the datas
– Proceed to reconcile the invoices, partial payments and credit notes
– In case of multiple invoices, check the invoices and delivery date in order to fix the Credit limit applicable.
– Access to Policy Administration IT system in order to consult and apply the free text clause recorded at policy level
 Insured amount fixing and databases updating
– Fix the insured amount of each claims: full Coverage, Partial coverage or full Rejection.
– Fill insured %, the coverage type and update a summary of the checks made on a etc.
– Quickly return to the dedicated agenda the files that cannot be assessed given their complexity.

 Contact with Policy holders
– Quickly inform the policy holder in case of total or partial rejection (Complete pre-established letters).
– In case of missing documents, request them to the policy holders
– Update the claim with the additional documents need to proceed to the claim assessment.