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General Services GS Roster Staff Health Insurance Assistant

Cairo

  • Organization: WHO - World Health Organization
  • Location: Cairo
  • Grade: Administrative support - GS-4, General Service - No need for Higher Education - Locally recruited position
  • Occupational Groups:
    • Public Health and Health Service
    • Human Resources
    • Administrative support
    • Procurement
    • Architecture, Building and Property Management
    • Labour Market Policy
    • EM/DAF General Management
  • Closing Date: Closed

General Services GS Roster Staff Health Insurance Assistant


Objectives of the Programme and the immediate Strategic

Objective

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 managementof 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

Summary of Assigned Duties (Describe what the incumbent has to do to achieve main objectives; include main achievements expected)


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 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, requests a medical report to be sent to the Medical Adviser; verifies entitlement to coverage

2- Processing medical claims daily on Staff Health Insurance system.

3- Contacts and/or prepares correspondence to medical providers, i.e. physicians, dentists, clinics, laboratories, etc. concerning medical claims/payment requests.

4- Makes the necessary communication with Head Quarter Office regarding the participants affiliation coverage and claims payment and to obtain the necessary advices from the Medical Adviser if needed.

5- Other relevant duties as requested.

    REQUIRED QUALIFICATIONS

Education Qualifications

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 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

WHO global Competencies model at http\://www.who.int/employment/WHO_competencies_EN.pdf?ua=1

Teamwork
Respecting and promoting individual and cultural differences
Communication
Knowing and managing yourself

Producing results


Use of Language Skills

Required\: Excellent knowledge of English and Arabic.

Desired\: Intermediate 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.
  • Staff members in other duty stations are encouraged to apply.
  • 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.

  • Duration of contract will depend on the needs of the department/unit

For assessment of your application, please ensure that\:

1- Your profile is properly completed and updated;

2- All required details regarding your qualifications, education and training are provided;

3- Your experience records are entered with elaboration on tasks performed at the time. Kindly note that CVs/PHFs inserted via LinkedIn are not accessible.

This vacancy is now closed.
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