EB Claims – Associate

Our client is a leading insurance brokerage firm with a strong presence across the Middle East and North Africa. As part of their continued regional growth, they are seeking to appoint an EB Claims– Associate to join their team in Beirut, Lebanon.
The position reports to the Head of Dep.





• Main accountability:

The Associate is responsible of assisting the client with any claims and inquiries related to the Employee Benefit department and to fill any specified gaps, including those in the areas of medical claims, life claims, Workmen Claims and expatriates coverage. In Addition, this post is connecting point between the clients and the insurance companies.

• Detailed Job Description

Client servicing:

• Serve as the primary point of contact for clients, hospitals, TPAs, and insurance companies throughout the claims process.
• Actively advocate for clients' best interests, ensuring prompt and equitable resolution of claims.
• Build strong relationships with clients, providers, and insurers to facilitate efficient communication and problem-solving.
• Provide timely and accurate updates to clients on the status of their claims.
• Identify and address potential issues or delays in the claims process.
• Keep track of pending claims and follow-up on their resolution.
• Prepare periodic reports on claims and production along with feedback.
• Work on data entry, ensuring accuracy and correcting any discrepancies.
• Provide clients with prompt and accurate responses to inquiries regarding plans, coverage details, copayments, deductibles, premiums, and claims procedures and or reimbursement.
• Develop and implement effective strategies to resolve complex claims in close coordination with the direct manager.
• Maintain a high level of customer satisfaction through exceptional service and communication.
• Stay up-to-date on industry products, solutions, regulations, policies, and procedures.
• Efficiently handle incoming calls and inquiries from clients regarding insurance coverage and claims and general inquiries through the EB hotline, even on weekends and days off.

Financial follow-up:

• Proactively follow up with insurance companies and clients to ensure timely payment of insurance claims and receipt of reimbursements.
• Manage financial aspects of client accounts, including processing claims payments, reconciling claims statements, and coordinating reimbursements.
• Provide clients with clear and concise explanations regarding insurance coverage, billing, and payment options.
• Identify and address any financial concerns or discrepancies promptly to the direct manager.

Documentation:

• Meticulously track and follow up on documents and paperwork to ensure timely completion and submission.
• Coordinate and monitor the production process, including renewals, quotations, additions, and deletions.
• Assist the EB Department in all reports and presentations such as but not limited to loss ratio preparation and analysis when needed.