Claims Examiner

Feladatok: Claims management tasks;Recording of claims received from the mailroom or electronically;Checking the completeness of the claim, obtaining missing documents;Consultation with the employer's medical experts, supervisors and legal department;Liaising and cooperating with other departments of the employer;Correspondence with clients, business partners, brokerage partners, authorities, medical institutions;Recording claims in computerised registration systems (LIFE, Claims system);Calculation, training and recording of contingency reserves, consultation with actuaries;Assessing the validity of claims. Deciding on the payment or rejection of claims up to the limit of the amount of the current authorisation. Preparing decisions above the level of eligibility, taking them to the approp...