Operations Officer - Health Claims
LifeStar Health Limited (Bupa Malta) are currently seeking an Operations Officer – Health Claims
The Operations Officer – Health Claims will be responsible for health insurance claim processing and participating in the smooth running of the health claims department, at all times ensuring excellent service to Bupa Malta customers.
Duties and Responsibilities:
- Review claim submission, verify information and determine cover
- Properly document medical claims; update and maintain database
- Correspond with claimants, medical advisors and service providers
- Calculate claim amounts and process payments
- Communicate claim decisions to the insured
- Preparing ad-hoc statements
- Identifying complaints and following internal procedures
- Adhere to all company policies, procedures and guidelines in addition to local insurance regulations
- Maintain excellent customer care service standards
- Ensure all claims information remains confidential
- Other reasonable duties and responsibilities within the overall function, which may be assigned from time to time
Knowledge / Skills / Qualifications:
- Working knowledge of the insurance industry
- Critical thinking and decision-making skills, and high attention to detail
- Good administrative and organisational skills
- Proficiency in Microsoft office applications
- Fluent in written and spoken Maltese and English
- CII certification would be considered an asset
What we offer:
Free health and life insurance after probation
Employee mental health support programme
Friendly and family-oriented work environment
Early finish every Friday
Social events
Training opportunities and support