Thursday, September 13, 2018

Staff Health Insurance Assistant, Cairo WHO - World Health Organization Closing date: Tuesday, 25 September 2018



Staff Health Insurance Assistant, 
Cairo  
WHO - World Health Organization 
Closing date: Tuesday, 25 September 2018

 Apply

Staff Health Insurance Assistant - (1804398)  
Grade: G4
Contractual Arrangement: Fixed-term appointment
Contract duration: 24 Months
: 

Job Posting

: Sep 12, 2018, 4:53:29 AM

Closing Date

: Sep 26, 2018, 5:59:00 PM

Primary Location

: Egypt-Cairo

Organization

: EM/DAF General Management
IMPORTANT NOTICE: Please note that the deadline for receipt of applications indicated above reflects your personal device's system settings. 
Position Number 346054

OBJECTIVES OF THE PROGRAMME
Budget and Financial Services (BFU) is a part of the Division of General Management and is responsible for supporting the work of WHO by providing efficient and flexible management of the Organization's financial resources and for accommodating varying circumstances while allowing for sound financial control and ensuring adherence to financial rules and regulations at all times

DESCRIPTION OF DUTIES
1. Checking medical claims submitted by active and retired staff or their survivors in accordance with the rules of the Staff Health Insurance, in particular : ensures that proof of payment is provided in support of claims for reimbursement; verifies bank accounts and postal addresses; ensures that bills are submitted within established time limits; verifies accuracy of the amounts claimed; for each prescription of drugs, ensures that the medicaments prescribed are reimbursable in terms of the rules and establishedguidelines; 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, requests a medicalreport to be sent to the Medical Adviser; verifies entitlement to coverage2. Prepares input documents for the processing of claims by computer.3. Enters and processes 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. Other duties as requested.

REQUIRED QUALIFICATIONS

Education
Essential: Graduation from a secondary school or equivalent.Desirable: University degree in Pharmacy,commerce, business administration or related field, as well as special training in automated accounting would be an advantage.

Experience
Essential: At least 3 years relevant experience with health Insurance or pharmaceutical companies
Desirable: Knowledge of pharmaceutical products and medical terminology and laws and practices of medical insurers would be a distinct advantageSkills

The incumbent controls an ever increasing workload by revising priorities often on a daily basis and oftenseveral 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

TeamworkRespecting and promoting individual and cultural differencesCommunicationKnowing and managing yourselfProducing results

Use of Language Skills
Essential: Expert knowledge of English. Expert knowledge of Arabic.Desirable: Beginners knowledge of French.

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 EGP 141,712 (subject to mandatory deductions for pension contributions and health insurance, as applicable) and 30 days of annual leave.

ADDITIONAL INFORMATION
  • This vacancy notice may be used to fill other similar positions at the same grade level
  • Only candidates under serious consideration will be contacted.
  • A written test may be used as a form of screening.
  • In the event that your candidature is retained for an interview, you will be required to provide, in advance, a scanned copy of the degree(s)/diploma(s)/certificate(s) required for this position. WHO only considers higher educational qualifications obtained from an institution accredited/recognized in the World Higher Education Database (WHED), a list updated by the International Association of Universities (IAU)/United Nations Educational, Scientific and Cultural Organization (UNESCO). The list can be accessed through the link: http://www.whed.net/. Some professional certificates may not appear in the WHED and will require individual review.
  • Any appointment/extension of appointment is subject to WHO Staff Regulations, Staff Rules and Manual.
  • WHO is committed to workforce diversity.
  • WHO has a smoke-free environment and does not recruit smokers or users of any form of tobacco.
  • This post is subject to local recruitment and will be filled by persons recruited in the local commuting area of the duty station.