prepare the statements of specialized or supplementary benefits due to the insured persons in accordance with the rules of the contract signed with the insurance, guarantees offered by the Mutual and internal management rules. According to my experience and the organization chosen, JE processes and manages the files, claims and anomalies with more or less complexity and specialization.
Validation and seizure of medical benefits

To verify the conformity of the medical prescriptions with the acts and products invoiced and to proceed to the rejection in case of nonconformity. Prepare benefit statements by seizure( Deal with current claims (benefits, regularization, contributions, debts,). Participate in the telephone reception.

Qualify and update the adherent file.

PROCESS REQUESTS FOR REIMBURSEMENT – Ensure the opening of the mail and constitute the lots to be treated – Check the validity of the documents. – Enter all types of requests. Before validation, check the consistency of the calculated service with the information on the invoice. – Treat rejections for various reasons.

Telephone reception: any request for Insured or HR Services Information companies.

Support all incoming calls from customers qualify the customer’s needs and respond to them, failing to direct them to the privileged interlocutor

Advise clients and actively participate in achieving a high level of satisfaction

Provide the interface between clients and management services

Write reporting sheets to enable proper management of requests by management services.

make the bank transfer

Participate in improving customer relationship management processes