Healthcare Benefits Manager H/F CDI

1 Month ago • All levels

Job Summary

Job Description

The role involves managing and processing insurance claims, specifically for disability and life insurance. Key responsibilities include opening and calculating benefits for insurance claims, handling and monitoring medical records related to claims, and managing the 'Noémie' system, emails, and phone calls related to claim management. The role requires interacting with clients, insurance companies, external payment services, and medical experts. Additionally, the role involves reporting activities to the group leader and communicating legal issues related to insurance to the legal department. The candidate should have knowledge of the insurance environment and be able to prioritize tasks.
Must have:
  • Knowledge of insurance environment and regulations
  • Familiarity with insurance contracts and practices
  • Ability to identify priorities and strong writing skills
  • Demonstrate a strong sense of customer satisfaction
Good to have:
  • Customer service skills
  • Motivation and a good attitude
  • Analytical thinking skills
Perks:
  • Development opportunities
  • Work with talented colleagues
  • Benefits to improve well-being

Job Details

Company:

Mercer

Description:

Nous recherchons un nouveau talent pour rejoindre notre équipe. Ce poste est basé à Wasquehal. Il s'agit d'un poste sur site.

Nous comptons sur vous pour :

  • Effectuer l’ouverture des dossiers sinistres prévoyance et le calcul des indemnités.
  • Instruire et suivre les dossiers sinistres prévoyance de toute nature (incapacité, invalidité, décès).
  • Instruire et suivre les dossiers médicaux des sinistres prévoyance soumis à un process médical (incapacité, invalidité)
  • Traiter les dossiers « Noémie » (télétransmission), les mails (gestion des dossiers, conseils aux sociétés, …) et les appels téléphoniques pour la gestion des dossiers.
  • Assurez la relation avec le client (RH et bénéficiaires), les compagnies d’assurances, les services paie externalisés, les médecins experts.
  • Transmettre au service juridique les problématiques juridiques de l’environnement prévoyance et les réactions clients. Vous êtes en échange régulier avec les unités commerciales, les équipes Frais Médicaux, Fichier et Paramétrage.
  • Assurez le reporting régulier de votre activité au responsable de groupe 

Ce que nous attendons de vous :

  • De formation Bac/Bac+2 (ou expérience équivalente), vous connaissez l’environnement de la prévoyance (fonctionnement Sécurité Sociale, régimes complémentaires, acteurs du marché…).
  • Vous maitrisez les contrats et leurs spécificités ainsi que la pratique des assureurs.
  • Vous savez identifier vos priorités et avez de bonnes compétences rédactionnelles.
  • Vous démontrez un sens aigu de la satisfaction client et faites preuve d’un esprit d’équipe.

Ce qui fera la différence :

  • Sens du service client
  • Motivation / Etat d’esprit
  • Esprit analytique

Ce que nous recherchons :

  • Des personnes motivées et sérieuses qui souhaitent s’investir et monter en compétence.

Pourquoi nous rejoindre :

  • Nous vous aiderons à développer votre potentiel grâce à nos opportunités de développement, un travail à forte valeur ajoutée et un accompagnement managérial. 
  • Nous favorisons une culture dynamique et inclusive où vous travaillerez avec des collègues talentueux/se pour créer de nouvelles solutions et avoir un impact sur vos collègues, vos clients.
  • Notre envergure nous permet de vous proposer un large éventail d'opportunités de carrière, ainsi que des avantages visant à améliorer votre bien-être.

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.

Marsh McLennan is committed to creating a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

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About The Company

Marsh McLennan (NYSE: MMC) is the world's leading professional services firm in the areas of risk, strategy and people. The Company's 76,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions. Guy Carpenter develops advancedrisk,reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients.

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