ASSISTANT (INSURANCE) (HQ/13/IPS/FT315)

24 August 2016
 
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The mission of WHO is the attainment by all peoples of the highest possible level of health.
Vacancy Notice No: HQ/13/IPS/FT315
 
Title: Assistant (Insurance)
 
Grade: G5
 
Contract type: Fixed-term Appointment
 
Duration of contract:  1 year
 
Date: 25 July 2013
 
Application Deadline: 15 August 2013 Vacancy Filled
 
Duty Station:  Geneva, Switzerland
 
Organization unit:
 
OBJECTIVES OF THE PROGRAMME :
The Department of Finance ensures that the financial management framework provides the required financial controls, reporting systems and procedures to meet the Organizations needs. It is therefore responsible for WHOs 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 insurance and pension services including administration of operations and risk management relating to staff and other financial risks.
Description of duties:
Under the general supervision of Admin. Officer, SHI and general guidance of a senior Assistant, the incumbent is assigned to the receipt and processing of health insurance claims, including those involving the direct payment to physicians, hospitals and others on behalf of claimants. The incumbent also assists in analysing the accounts of the SHI, preparing reports, graphs etc.
A. Medical Claims (75%)
1. Examining medical claims submitted by active and retired staff or their survivors in accordance with the rules of the SHI and interpretation made by the HSC in particular: ensures proof of payment is provided in support of claims for reimbursement; verifies bank accounts and postal addresses; ensures bills submitted within established time limits; verifies accuracy of amounts claimed; for each prescription of drugs ensures medicines prescribed are reimbursable in terms of rules and established guidelines; verifies presence of physicians prescription in respect of special forms of treatment; in case of hospitalization, checks whether daily rates charged are within established limits and adjusts the claim as appropriate; ensures sufficient information provided to permit meaningful analysis of claims. If in doubt as to whether claim
qualifies for reimbursement requests a medical report to be sent to Medical Adviser; verifies entitlement to coverage.
2. Prepares input documents for processing of claims by computer.
3. Enters and validates daily claims on computer.
4. Contacts and/or prepares correspondence to medical providers i.e. physicians, dentists, clinics, laboratories etc. concerning medical claims/payment requests.
5. Receives active and retired staff to provide information on claims.
6. Validates claims pre-coded by regions and processes payment.
B. Financial Accounting/Analysis (15%)
1. Prepares financial reports and statements.
2. Compiles and assists in analysing statistics using graphs to illustrate trends etc.
C. Other (10%) Other duties as required.
REQUIRED QUALIFICATIONS
Education:
Essential
Completion of secondary school education or equivalent.
Desirable
Higher education an advantage.
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 claims and drawing attention to staff on specific insurance rules. Incumbent ensures cases of potential fraud, excessive billing or other anomalies are dealt with under supervision and in absolute confidentiality.

WHO Competencies:
Knowing and managing yourself
Producing results
Communicating in a credible and effective way
Experience:
Essential
A minimum of 5 years administrative experience.
Desirable
Experience in health care insurance related activity, preferably involving a multi-country network would be an asset. In-depth knowledge of : SHI rules, staff rules, financial regulations of WHO, Swiss and French Medical Procedure/supply codes.
Languages:
Expert knowledge of English and French required. Knowledge of other UN languages an asset.
Additional Information:
The following priority order will be observed in the screening of candidates: 1. WHO staff members (Continuing, Fixed-term and Temporary appointments), 2. External candidates. A written test may be used for screening purposes. Other similar positions at the same grade level may be filled from this vacancy notice. This vacancy is published in English only.
This post is subject to local recruitment and will be filled by persons recruited in the local commuting area of each office.
Annual salary: (Net of tax)
net CHF 75093 at single rate
net CHF 75093 with primary dependants

This vacancy notice may be used to fill other similar positions at the same grade level.

A written test and interviews may be used as a form of screening

Online applications are strongly encouraged to enable WHO to store your profile in a permanent database. Please visit WHO's e-Recruitment website at: www.who.int/employment. The system provides instructions for online application procedures.
All applicants are encouraged to apply online as soon as possible after the vacancy has been posted and well before the deadline stated in the vacancy announcement.

WHO is committed to workforce diversity.
Any appointment/extension of appointment is subject to WHO Staff Regulations, Staff Rules and Manual. Only candidates under serious consideration will be contacted.

Vacancy Filled

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WHO has a smoke-free environment and does not recruit smokers or users of any form of tobacco.
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