Medical Benefits and Insurance Officer

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Description

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• Present professional recommendation and steering to employees and administration on Medical Advantages Fund.
• Present recommendation in delicate employees circumstances, liaise and handle correspondence with the medical service, the third social gathering administrator, Authorized Affairs, the employees member and advocate acceptable motion to senior administration.
• Establish points that probably have an effect on MBF fund, procedures, and monetary commitments.
• Undertake evaluation as required and supply knowledge and recommendation to administration on issues which have an effect on employees rights and the potential dedication of MBF funding.
• Present knowledge and clarifications for actuarial research and supply data to monetary auditors for audit functions BFM.
• Handle the contract and relations with third social gathering administrator(s) and guarantee corresponding implementation within the regulatory framework, work procedures and inner techniques.
• Liaise with third social gathering administrator to enhance communication with voluntary and obligatory members by way of a spread of channels. Provoke administrative motion for processing claims (Article 19 of the MBF Guidelines) towards third events in restoration of sums for the Group.
• Take part in  the  MBF Board conferences and put together stories of proceedings and assist working teams as essential.

• Present professional recommendation and steering to employees and administration on Employees Compensation Plan.
• Put together background evaluation and documentation on circumstances to be introduced earlier than the Advisory Committee on Compensation Claims in liaison with the Medical Physician and Authorized Affairs the place essential.
• Research and analyses compensation claims by employees members in an effort to advise the Head of Unit to take acceptable motion based on the precise circumstances. Undertake evaluation of contentious circumstances for the aim of settling compensation claims with insurers.
• Provoke administrative motion for processing claims (Article 8 of the Compensation Guidelines) towards third events in recovering of sums for the Group.
• Supervise the upkeep of the related accounts and the preparation of  reporting on exercise.

• Present professional recommendation and steering to employees and managers on insurance policy obtainable and situations.
• Manages particular and/or contentious circumstances with employees/customer and with insurance coverage firm. Put together statistics and evaluation for accountancy function and/or for insurance coverage firm consideration.
• Implements a steady enchancment method to the techniques, processes and procedures liaising with exterior stakeholders reminiscent of insurers, the Pension Fund, the third social gathering administrator and inner stakeholders inside HRM and in UNESCO to take action.

• Superior college diploma (Grasp’s or equal) in Finance, Enterprise Administration, Human Assets Administration, Public Well being or associated fields.

• Minimal 4 (4) years of related skilled expertise in  Social Safety Advantages, Medical Insurance coverage Contract Administration, Employees Compensation, Human Assets administration, Monetary Companies or Authorized issues. 
• Expertise in medical insurance scheme administration or administration within the UN System or related worldwide organisations. 
• Expertise managing inner and exterior stakeholders.

• Robust verbal and written communication abilities.
• Robust data of worker insurance coverage schemes and/or profit programmes.
• Robust problem-solving, analysis, and analytical abilities.
• Capability to create compelling and informative shows and stories.
• Integrity and the power to work with confidential data with discretion.
• Excellent customer support abilities.
• Wonderful organizational abilities, sound judgment, willingness to take initiative and the power to work independently and as a part of a group.
• Wonderful IT abilities and data of MS Suite.

• Wonderful data (written and spoken) of English or French, and good data of the opposite. 

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