Clerk Outpatient Medical Costs 80 - 100 % Job Details | Suva

Job Description

Empower yourself with us. ##

With us, you know exactly what you get up for in the morning: You make the work and leisure time of millions of people safer. That drives you and moves you forward. You learn something new every day and grow from it. Together with us.

Clerk Outpatient Medical Costs 80 - 100 %

Wetzikon

Do you like being the connecting point, keeping an overview, and clarifying open questions between medicine, insurance companies, and service providers? Then you are in the right place with us.

What you achieve

• You check outpatient cost guarantees and medical cost invoices for their medical causality and ensure compliance with the applicable tariff bases.
• You work closely with our internal medical specialists as well as with doctors, hospitals, and social insurance providers and carry out additional administrative and medical clarifications if necessary.
• You assess and control invoices, approve them, or reject them in a comprehensible and justified manner.
• You advise and support our internal specialist departments as well as service providers on tariff-related and case-independent questions.
• You process inquiries from social insurance providers, for example in connection with reclamations.

What you bring

• You have completed paramedical training (EFZ), e.g., as a Medical Practice Assistant, Specialist in Healthcare, Druggist, or Pharma Assistant. Otherwise, you bring commercial training (EFZ) with experience in the administration of personal insurance (UVG/KVG).
• You are familiar with tariff systems and enjoy exchanging ideas with different specialist departments and stakeholder groups.
• Several years of professional experience in health or accident insurance is an advantage.
• You communicate with stylistic confidence in German. Good oral French or Italian skills are a plus.
• You work independently and convince with your assertiveness and your solution-oriented manner.