TRICARE Claims Administrator (German speaker)

International SOS
United Kingdom
29 Sep 2017
03 Nov 2017
Contract Type
Full Time
Company DescriptionInternational SOS is the world’s leading medical and travel security risk services company with 11,000 employees. We provide a world class offering for travellers and expatriates. Every single day we are making a difference in people’s lives and able to support them when they need it the most. We offer our employees a dynamic, friendly and multi-cultural environment to work in. Due to expanding business, we have an exciting opportunity to join our operations team within our TRICARE department. TRICARE is the U.S. Department of Defence worldwide health care program available to military personnel overseas.

Job DescriptionWe are looking for a German-speaking Claims Administrator (known internally as a TRICARE Provider Support Services Executive) to join our team based at Chiswick Park, London. International SOS provides comprehensive healthcare management and related support services to beneficiaries enrolled in the US Government’s TRICARE Overseas Programme (TOP). The TPSS team works with providersof medical services to assist in getting claims paid, help them resolve any detailed claims issues, educate them on the TRICARE claims processes and be their first line customer support contact for the Eurasia Africa region.

Key responsibilities

Customer service support for Host Nation Providers (HNPs), responding to telephone or written inquiries or complaints from HNP's with respect to claimspaymentsWorks closely with the Relationship Management team in their dealings with the HNPs, beneficiaries and US Government stakeholdersIn response to queries from HNPs, provide information regarding status of payment for claims submitted. Deal with all aspects of invoice/claim, reimbursement and reconciliation of claims queries from providers and the US client in a timely and professional mannerCommunicate effectively and as required with HNPs, educating them on the claims submission process; assisting providers in ensuring that claims are submitted accurately and accepted for processing and timely paymentWork closely with regional TRICARE operations staff to identify, trouble-shoot and resolve HNP issues, informing them of any issues that may impact the ability or willingness of providers to accept TRICARE beneficiaries
QualificationsRequired Skills and ExperienceExcellent written and oral English and German language skills are essentialStrong claims administration skills; highly comfortable with detailed technical analysisStrong interpersonal skills and customer service ethosA-Levels and/or Degree is desirable but not essential (or equivalents)
Additional InformationWe will offer you an interesting, varied and challenging career, where you will have the opportunity to experience working with a diverse range of people.

Please apply online now attaching your CV.

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