Expert Insurance Claims Administrator

BNP PARIBAS Cardif Bulgaria, operating in Sofia as 2 branches of Cardif Assurances Risques Divers SA and Cardif Assurances Vie SA, France are looking for a professional to take the position of Expert Insurance Claims Administrator (Fixed Term contract ).

Job Tasks and Responsibilities:

Administration, review, analysis, evaluation and decision-making on insurance claims, preparation of reports and conduct of

 analyses related to the liquidation activity, conducting trainings, consulting and assistance to the employees of the department and the company in relation to the processes and procedures of the activity and in the introduction of new products, technical activities related to the creation and maintenance of modules related to the liquidation process, assistance to partners in connection with the occurrence of insurance events and the validity of claims. 

Main duties:

• Participates in the processes of liquidation activities, incl. conducting analysis, assessment and decision-making on insurance claims within the authorized authorization for the position and in accordance with the rules and procedure approved by the Company. 
• Participates in the examination, analysis and evaluation of insurance claims falling within the scope of the procedures for consideration of complicated insurance claims, insurance claims over the authorization limit for the position and insurance claims considered under an "exception" 
• Conducts correspondence by phone, email and participates in meetings with clients or their representatives, as well as with partners in connection with the resolution of various cases of claims and related cases. 
• Prepares "stamps" parameterization of products in the main system for administration and processing of insurance claims. 
• Participates in the creation, maintenance and development of additional modules and systems in connection with the process of administration and processing of insurance claims 
• Participates in the creation of internal rules and procedures related to liquidation activities; in the introduction of new requirements, manuals and instructions both by HO, kata and internal. Prepares reports, participates in the process of monitoring and controlling activities related to the liquidation of insurance claims. 
• Assists Claims Manager in the creation of new products and related liquidation processes 
• Participates in the training of the team related to the introduction of new products and the implementation of changes to conditions and operational processes related to the liquidation activity; when recruiting new staff
• Provides assistance and assistance to the team in the daily activities related to the liquidation of insurance claims: explains, advises, directs, consults, etc.
• Participates in the risk assessment process – administers cases.
• Participates in communication with medical centers, in sending / receiving requests, invoices, etc. documents related to the activity/, as well as in the selection of new medical centers and renewal of contracts with existing ones; 

• Assists and prepares expert opinions in the consideration of complaints and objections related to the process and evaluation of insurance claims. 
• In connection with the day-to-day liquidation activities, communicates with partners and external suppliers and executives (including outsourcing and TPA) in connection with the liquidation process, answering inquiries, preparing reports, assisting in resolving problems; sets requirements and tasks and monitors the receipt of an answer and the implementation of the assigned tasks correctly, qualitatively and on time, in accordance with the agreements. 

Responsibilities of the employee 

Responsibility for the storage of the information/documents of clients received and/or prepared by him/her; 

Is responsible for the correct and accurate examination of the documents on insurance claims, in accordance with the internal rules of the department and the contracts with partners of the company; 

Is responsible for the quality and timely performance of the assigned tasks, in accordance with his functional duties as a "Claims Administrator", calculates compensations and prepares documents for payments, maintains a database correctly, prepares reports;

Subordination, relationships and relationships 

• Hierarchical: 
   In the day-to-day work he is subordinate to the Claims Manager and Operations Director of Cardif, Branches Bulgaria.
• Functional: 

In the day-to-day work, he is in touch and relationship with all other employees of Cardif, Branches Bulgaria. 

Contacts the relevant employees of Cardif Contractual Partners, Bulgaria Branches in relation to the work performed. 

Requirements for occupying the position

• Educational requirements for the position: higher economic education with a Master's degree; 
• Qualification requirements for the position: work experience in the specialty - more than 2 years; 
• Other requirements for the position: 

knowledge of a foreign language: knowledge of English /written and spoken/; 

computer literacy (Word, Excel, Internet, etc.). 

• Personal qualities: loyalty, ability to work in a team and work with clients, initiative, communication, etc.)

Engagement with the goals and standards of BNP PARIBAS Cardif Bulgaria.