CLAIMS ASSISTANT (2 positions), G5

Org. Setting and Reporting These positions are located within the UNSMIS Unit based in The Hague, as part of the Medical Insurance Section, Financial Resources Management Service, Division of Administration of the United Nations Office at Geneva. The incumbents report to the Administrative and Benefits Officer of the Medical Insurance Section. Responsibilities Under the supervision of the Administrative and Benefits Officer of the Medical Insurance Section, the incumbent will be responsible for the following duties: 1. Tasks related to the processing of medical claims - Processes health insurance claims; - Checks claims, prior authorizations and supporting documents; checks benefits and related costs; - Verifies and validates expenses, uses accurate reimbursement codes and effects data validation in the Medical Insurance Underwriting System (MIUS) and the e-Claims portal of UNSMIS; - Assists in responding to complex queries relating to high value medical claims (for example hospitalization, accidents, medical evaluations) and to requests from many different countries; - Researches necessary information related to accidents of staff members during the performance of official duties or involving a third party; - Timely follows-up on pending files. 2. Tasks related to the verification of payments - Analyzes the list of pending payments and the list of pending claims. - Helps checking discrepancy lists and reconciliations of payments. 3. Other tasks - Assists in drafting responses to insured members; - Archives medical claim files; - Assists with periodical quality checks of medical claims; - Performs other duties as assigned by the supervisor. Competencies Professionalism: Knowledge of international health insurance schemes is desirable. Shows pride in work and in achievements. Demonstrates professional competence and mastery of subject matter. Is conscientious and efficient in meeting commitments, observing deadlines and achieving results. Is motivated by professional rather than personal concerns. Shows persistence when faced with difficult problems or challenges; remains calm in stressful situations. Commitment to implementing the goal of gender equality by ensuring the equal participation and full involvement of women and men in all aspects of work. Teamwork: Works collaboratively with colleagues to achieve organizational goals. Solicits input by genuinely valuing others’ ideas and expertise; is willing to learn from others. Places team agenda before personal agenda. Supports and acts in accordance with final group decision, even when such decisions may not entirely reflect own position. Shares credit for team accomplishments and accepts joint responsibility for team shortcomings. Planning and organizing: Develops clear goals that are consistent with agreed strategies. Identifies priority activities and assignments; adjusts priorities as required. Allocates appropriate amount of time and resources for completing work. Foresees risks and allows for contingencies when planning. Monitors and adjusts plans and actions as necessary. Uses time efficiently. Education High school diploma or equivalent is required. Job - Specific Qualification Specialization in accounting is desirable. Work Experience At least five (5) years of experience in finance, accounting or related areas are required. The minimum years of relevant experience is reduced to three (3) for candidates who possess a first-level university degree or higher. At least two (2) years' experience within the United Nations Common System or in a similar international organization is desirable. Languages English and French are the working languages of the United Nations Secretariat. For this job opening, English is required. Either French or Arabic or Chinese (Mandarin) or Russian or Spanish or Dutch is desirable. The table below shows the minimum required level for each skill in these languages, according to the UN Language Framework