Exciting Opportunity: Multiple Assistant Positions In Insurance At WHO For August
Vacancy Details
- Grade: G3
- Contractual Arrangement: Fixed-term appointment
- Contract Duration (Years, Months, Days): 2 years
- Closing Date: Aug 6, 2024, 11:59:00 PM
- Primary Location: Switzerland-Geneva
- Organization: HQ/SHI Staff Health Insurance FNM BOS
- Schedule: Full-time
- Vacancy #: 2403931
OBJECTIVES OF THE PROGRAMME
Exciting Opportunity: Multiple Assistant Positions In Insurance At WHO For August. The Department of Finance ensures that the financial management framework provides the required financial controls, reporting systems and procedures to meet the Organization’s needs. It is therefore responsible for WHO’s accounting policy and systems, corporate accounting, financial reporting, income and expenditure, donor accounting and reporting and treasury management policies. The Department of Finance has also the responsibility for Staff Health Insurance (SHI).
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DESCRIPTION OF DUTIES
- After triage by senior SHI staff check simple and non-complicated medical claims submitted by active and retired staff or their survivors in accordance with the rules of the Staff Health Insurance and the interpretation made by the SHI Global Standing Committee.
- After consultation with senior SHI staff, checks that proof of payment is provided in support of claims for reimbursement; verifies bank accounts and postal addresses; checks that bills are submitted within established time limits and informs responsible SHI staff when information is missing; checks the accuracy of the amounts claimed; for each prescription of drugs, ensures that the medicines prescribed are reimbursable in terms of the rules and established guidelines; verifies the presence of a physician’s prescription in respect of special forms of treatment; in the case of hospitalization, checks whether the daily rates charged are within established limits and adjusts the claim as appropriate; ensures that sufficient information is provided to permit a meaningful analysis of the claims.
- If in doubt as to whether the claim qualifies for reimbursement, escalates the claim to SHI Officer who requests a medical report to be sent to the Medical Adviser; verifies entitlement to coverage or further action.
- Prepares input documents for the processing of claims by computer.
- Enters and processes daily claims through the SHI Online system.
- Performs all other related duties as assigned.
REQUIRED QUALIFICATIONS
Education
Essential: Completion of secondary school education or equivalent
Experience
Essential: At least 2 years of clerical experience in an administrative/office environment, which is a service-oriented-environment
Desirable:
- Experience in UN-system health insurance and/or other commercial health insurance companies.
- Multicounty/international experience and in-depth experience in WHO and/or other UN Organizations, WHO SHI rules, WHO staff rules, WHO Financial Regulations, Swiss and French Medical Procedures or supply codes.
Skills
- The incumbent controls an ever-increasing workload by revising priorities often on a daily basis and often several times a day.
- The incumbent uses mature judgement when responding to unusual requests, courtesy when redirecting callers and diplomacy when dealing with sensitive health care providers and drawing attention to staff on specific insurance rules.
- Incumbent ensures cases of potential fraud or other anomalies are dealt with under supervision and in absolute confidentiality.
- The incumbent is responsible for the efficient organization of own time and priorities and is expected to work in a proactive manner to avoid loss of time.
- The incumbent is responsible for checking that quality and consistency of data entry is adhered to and that files are in good order and complete.
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WHO Competencies
Teamwork
Respecting and promoting individual and cultural differences
Communication
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Use of Language Skills
Essential: Expert knowledge of French.
Desirable: Intermediate knowledge of English.
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REMUNERATION
WHO offers staff in the General Services category an attractive remuneration package, which for the above position includes an annual net base salary starting at CHF 65,952 (subject to mandatory deductions for pension contributions and health insurance, as applicable) and 30 days of annual leave.
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