Assistant (Insurance) (multiple positions)

Job Description - Assistant (Insurance) (multiple positions) (2403931)

Assistant (Insurance) (multiple positions) - (2403931)

Grade: G3

Contractual Arrangement: Fixed-term appointment

Contract Duration (Years, Months, Days): 2 years

: Jul 23, 2024, 3:35:53 PM

: Aug 6, 2024, 9:59:00 PM

: Switzerland-Geneva

: HQ/SHI Staff Health Insurance FNM BOS

: Full-time

IMPORTANT NOTICE: Please note that the deadline for receipt of applications indicated above reflects your personal device's system settings.

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 Organization's needs. It is therefore responsible for WHO's 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 Staff Health Insurance (SHI).

DESCRIPTION OF DUTIES

• After triage by senior SHI staff check simple and non-complicated medical claims submitted by active and retired staff or their survivors in accordance with the rules of the Staff Health Insurance and the interpretation made by the SHI Global Standing Committee.
• After consultation with senior SHI staff, checks that proof of payment is provided in support of claims for reimbursement; verifies bank accounts and postal addresses; checks that bills are submitted within established time limits and informs responsible SHI staff when information is missing; checks the accuracy of the amounts claimed; for each prescription of drugs, ensures that the medicines prescribed are reimbursable in terms of the rules and established guidelines; 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, escalates the claim to SHI Officer who requests a medical report to be sent to the Medical Adviser; verifies entitlement to coverage or further action.
• Prepares input documents for the processing of claims by computer.
• Enters and processes daily claims through the SHI Online system.
• Performs all other related duties as assigned.

REQUIRED QUALIFICATIONS

Education

Essential: Completion of secondary school education or equivalent

Experience

Essential: At least 2 years of clerical experience in an administrative/office environment, which is a service-oriented-environment

Desirable:

• Experience in UN-system health insurance and/or other commercial health insurance companies.
• Multicounty/international experience and in-depth experience in WHO and/or other UN Organizations, WHO SHI rules, WHO staff rules, WHO Financial Regulations, Swiss and French Medical Procedures or supply codes.

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 health care providers and drawing attention to staff on specific insurance rules.
• Incumbent ensures cases of potential fraud or other anomalies are dealt with under supervision and in absolute confidentiality.
• The incumbent is responsible for the efficient organization of own time and priorities and is expected to work in a proactive manner to avoid loss of time.
• The incumbent is responsible for checking that quality and consistency of data entry is adhered to and that files are in good order and complete.

WHO Competencies

Teamwork

Respecting and promoting individual and cultural differences

Communication

Use of Language Skills

Essential: Expert knowledge of French.

Desirable: Intermediate knowledge of English.

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 CHF 65,952 (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 and/or an asynchronous video assessment 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.
• According to article 101, paragraph 3, of the Charter of the United Nations, the paramount consideration in the employment of the staff is the necessity of securing the highest standards of efficiency, competence, and integrity. Due regard will be paid to the importance of recruiting the staff on as wide a geographical basis as possible.
• Any appointment/extension of appointment is subject to WHO Staff Regulations, Staff Rules and E-Manual.
• The WHO is committed to creating a diverse and inclusive environment of mutual respect. The WHO recruits and employs staff regardless of disability status, sex, gender identity, sexual orientation, language, race, marital status, religious, cultural, ethnic and socio-economic backgrounds, or any other personal characteristics.
• Persons with disabilities can request reasonable accommodations to enable participation in the recruitment process. Requests for reasonable accommodation should be sent through an email to reasonableaccommodation@who.int
• An impeccable record for integrity and professional ethical standards is essential. WHO prides itself on a workforce that adheres to the highest ethical and professional standards and that is committed to put the WHO Values Charter into practice.
• WHO has zero tolerance towards sexual exploitation and abuse (SEA), sexual harassment and other types of abusive conduct (i.e., discrimination, abuse of authority and harassment). All members of the WHO workforce have a role to play in promoting a safe and respectful workplace and should report to WHO any actual or suspected cases of SEA, sexual harassment and other types of abusive conduct. To ensure that individuals with a substantiated history of SEA, sexual harassment or other types of abusive conduct are not hired by the Organization, WHO will conduct a background verification of short-listed candidates.
• WHO has a smoke-free environment and does not recruit smokers or users of any form of tobacco.
• WHO also offers wide range of benefits to staff, including parental leave and attractive flexible work arrangements to help promote a healthy work-life balance and to allow all staff members to express and develop their talents fully.
• The statutory retirement age for staff appointments is 65 years. For external applicants, only those who are expected to complete the term of appointment will normally be considered.
• Please note that WHO's contracts are conditional on members of the workforce confirming that they are vaccinated as required by WHO before undertaking a WHO assignment, except where a medical condition does not allow such vaccination, as certified by the WHO Staff Health and Wellbeing Services (SHW). The successful candidate will be asked to provide relevant evidence related to this condition. A copy of the updated vaccination card must be shared with WHO medical service in the medical clearance process. Please note that certain countries require proof of specific vaccinations for entry or exit. For example, official proof /certification of yellow fever vaccination is required to enter many countries. Country-specific vaccine recommendations can be found on the WHO international travel and Staff Health and Wellbeing website. For vaccination-related queries please directly contact SHW directly at shws@who.int.
• This post is subject to local recruitment and will be filled by persons recruited in the local commuting area of the duty station.
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