Claims Services Processing Specialist

The Medical Claims Specialist manages medical expense reimbursement requests, supporting two reimbursement scenarios: one where the payment is anticipated by the beneficiary and reimbursed afterwards, and one where the payment is not anticipated by the beneficiary.

The role ensures accurate validation of documentation, assessment of eligibility and reimbursement amounts, and timely case handling in compliance with policy terms and internal procedures, coordinating with internal teams where required.

Aon is in the business of better decisions

At Aon, we shape decisions for the better to protect and enrich the lives of people around the world.

As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed.

What the day will look like

Processes the notification and conducts subsequent advice, collection and settlement.

• Promptly reviews and acts with urgency in establishing initial and subsequent contact with all parties and key stakeholders.
• Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Effective and timely communication with insureds, insured general counsel, and making exceptional customer service a top priority.
• Identifying areas of the risk in daily operations and assessing their risk impact. Escalating any issues appropriately to the team manager and/or business leader.
• Acting as an escalation point for process, products related issues driven by daily operations.
• Focusing on problem solving in difficult cases and escalation situations.

How this opportunity is different

The role involves developing professional expertise, applying company policies and procedures to resolve a variety of issues and working on issues of moderate scope where analysis of situations or data requires a review of a variety of factors. We are looking for candidates who possesse an awareness of larger team / department strategies and customer needs and are able to adapt broader policies & programs to meet the organizations business needs.

Skills and experience that will lead to success

• Proficiency in MS Office
• Ability to measure, review and improve claims team performance
• Very high attention to details
• Ability to analyze data and check its accuracy
• Good numerical skills
• Ability to identify and respond to risks
• Strong ability to think creatively
• English level - at least B2+
• University degree or equivalent (ideally specialization in accounting / economics/finance/administration)
• Experience in claim or administration would be an asset

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