Org. Setting and Reporting
This position is located in the Medical Insurance Section, Financial Resources Management Service, Division of Administration, United Nations Office at Geneva. The Claims Officer reports to the Chief of Section.Responsibilities
Under the general supervision of the Chief of Section, the Claims Officer is responsible for the following:
1. Manages and supervise the daily operations the Reimbursement Unit and the Client Relations and Secretarial Unit to ensure efficient services covering:
a) Processing of claims reimbursement to members;
b) Providing technical advice to team members;
c) Establishing performance targets/Key Performance Indicators (KPI’s) both qualitative and quantitative;
d) Claims turnaround time;
e) Streamlining and improving customer service delivery;
f) Reviewing cases with third party insurers;
g) Investigating and handling fraudulent cases;
h) Reviewing service agreements with health providers.
2. Assists the Chief of Section and Executive Secretary of UNSMIS to ensure effective operations to improve services to insured members, to update the rules of UNSMIS; coordinates the periodic client satisfaction surveys; initiates and conduct studies to improve the long-term financial soundness of UNSMIS; assists in developing anti-fraud framework, developing actuarial valuation and conducting benchmarking analysis and surveys; prepares circulars and the annual management and financial reports.
3. Assists the Chief of Section and Executive Secretary of UNSMIS with the development of new tools aimed at improving efficiency. Gathers information for the evaluation of the plan's solvency and liabilities. Conducts benchmark analysis against best market practice.
4. Assists the Chief of Section and Executive Secretary of UNSMIS in respect of appeal cases for consideration of the Executive committee as well as the Arbitration Committee to prepare the documentation concerning the appeal against approved reimbursement and present them for consideration of the Executive Committee of UNSMIS; assists in establishing the Arbitration Committee and acts as Deputy Secretary to the Committee; assists in establishing the Arbitration Committee and acts as Deputy Secretary to the Committee.
5. Establishes a set of sound policies, procedures, standards and tools which are consistent with UN policy and practices and UNSMIS rules and monitors implementation of cost plans accordingly.
6. Performs special assignments as required and replaces the Chief of Section in his/her absence.
Professionalism: Proven analytical and evaluation skills; -Identifies issues, formulates options and establishes conclusions and recommendations; In-depth grasp of financial principles and practices; Demonstrated ability to provide technical advice in the area of insurance and financial management; -Treats sensitive or confidential information appropriately; Demonstrated leadership, managerial and supervisory skills; Good knowledge of IT issues and solutions Shows pride in work and in achievements. Demonstrates professional competence and mastery of subject matter. Is conscientious and efficient in meeting commitments, observing deadlines and achieving results. Is motivated by professional rather than personal concerns. -Shows persistence when faced with difficult problems or challenges; remains calm in stressful situations. Provides leadership and takes responsibility for incorporating gender perspectives and ensuring the equal participation of women and men in all areas of work; demonstrates knowledge of strategies and commitment to the goal of gender balance in staffing.
Planning and organizing: Develops clear goals that are consistent with agreed strategies. Identifies priority activities and assignments; adjusts priorities as required. Allocates appropriate amount of time and resources for completing work. Foresees risks and allows for contingencies when planning. Monitors and adjusts plans and actions as necessary. Uses time efficiently.
Client orientation: Considers all those to whom services are provided to be “clients” and seeks to see things from clients’ point of view. Establishes and maintains productive partnerships with clients by gaining their trust and respect. Identifies clients’ needs and matches them to appropriate solutions. Monitors ongoing developments inside and outside the clients’ environment to keep informed and anticipate problems. Keeps clients informed of progress or setbacks in projects. Meets timeline for delivery of products or services to client.
Managing Performance: Delegates the appropriate responsibility, accountability and decision-making authority. Makes sure that roles, responsibilities and reporting lines are clear to each staff member. Accurately judges the amount of time and resources needed to accomplish a task and matches task to skills. Monitors progress against milestones and deadlines. Regularly discusses performance and provides feedback and coaching to staff. Encourages risk-taking and supports creativity and initiative. Actively supports the development and career aspirations of staff. Appraises performance fairly
Building trust: Provides an environment in which others can talk and act without fear of repercussion. Manages in a deliberate and predictable way. Operates with transparency; has no hidden agenda. Places confidence in colleagues, staff members and clients. Gives proper credit to others. Follows through on agreed upon actions. Treats sensitive or confidential information appropriately.
An advanced university degree (Master’s degree or equivalent degree) in economics, finance, business administration or actuarial studies is required. A first level university degree in combination with two additional years of qualifying work experience may be accepted in lieu of the advanced university degree.Job - Specific Qualification
A formal training in insurance related fields is desirable.Work Experience
A minimum of seven (7) years of progressively responsible experience in insurance, finance or business administration with at least three (3) years of supervisor experience is required.
A minimum of two (2) years experience within the UN Common System is desirable.
Experience in risk management or Employee Benefits (specific to the field of personal lines insurance) is desirable.
Experience in compliance and regulatory frameworks is desirable.
Experience with ERP systems and claims/underwriting databases is desirable.
Experience in UN policies and administrative procedures is desirable.
English and French are the working languages of the United Nations Secretariat. For the position advertised, fluency in both English and French is required. Knowledge of another United Nations official language is desirable.Assessment
Evaluation of qualified candidates may include an assessment exercise which will be followed by competency-based interview.Special Notice
This post is funded from extra budgetary resources. The initial appointment is for a period of one year. Extension of appointment is subject to satisfactory performance and availability of funds.
The United Nations Secretariat is committed to achieving 50/50 gender balance and geographical diversity in its staff. Female candidates are strongly encouraged to apply for this position.
At the United Nations, the paramount consideration in the recruitment and employment of staff is the necessity of securing the highest standards of efficiency, competence and integrity, with due regard to geographic diversity. All employment decisions are made on the basis of qualifications and organizational needs. The United Nations is committed to creating a diverse and inclusive environment of mutual respect. The United Nations recruits and employs staff regardless of gender identity, sexual orientation, race, religious, cultural and ethnic backgrounds or disabilities. Reasonable accommodation for applicants with disabilities may be provided to support participation in the recruitment process when requested and indicated in the application.
United Nations Considerations
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. Candidates will not be considered for employment with the United Nations if they have committed violations of international human rights law, violations of international humanitarian law, sexual exploitation, sexual abuse, or sexual harassment, or if there are reasonable grounds to believe that they have been involved in the commission of any of these acts. The term “sexual exploitation” means any actual or attempted abuse of a position of vulnerability, differential power, or trust, for sexual purposes, including, but not limited to, profiting monetarily, socially or politically from the sexual exploitation of another. The term “sexual abuse” means the actual or threatened physical intrusion of a sexual nature, whether by force or under unequal or coercive conditions. The term “sexual harassment” means any unwelcome conduct of a sexual nature that might reasonably be expected or be perceived to cause offence or humiliation, when such conduct interferes with work, is made a condition of employment or creates an intimidating, hostile or offensive work environment, and when the gravity of the conduct warrants the termination of the perpetrator’s working relationship. Candidates who have committed crimes other than minor traffic offences may not be considered for employment.
Due regard will be paid to the importance of recruiting the staff on as wide a geographical basis as possible. The United Nations places no restrictions on the eligibility of men and women to participate in any capacity and under conditions of equality in its principal and subsidiary organs. The United Nations Secretariat is a non-smoking environment.
The paramount consideration in the appointment, transfer, or promotion of staff shall be the necessity of securing the highest standards of efficiency, competence, and integrity. By accepting an offer of appointment, United Nations staff members are subject to the authority of the Secretary-General and assignment by him or her to any activities or offices of the United Nations in accordance with staff regulation 1.2 (c). In this context, all internationally recruited staff members shall be required to move periodically to discharge new functions within or across duty stations under conditions established by the Secretary-General.
Applicants are urged to follow carefully all instructions available in the online recruitment platform, inspira. For more detailed guidance, applicants may refer to the Manual for the Applicant, which can be accessed by clicking on “Manuals” hyper-link on the upper right side of the inspira account-holder homepage.
The evaluation of applicants will be conducted on the basis of the information submitted in the application according to the evaluation criteria of the job opening and the applicable internal legislations of the United Nations including the Charter of the United Nations, resolutions of the General Assembly, the Staff Regulations and Rules, administrative issuances and guidelines. Applicants must provide complete and accurate information pertaining to their personal profile and qualifications according to the instructions provided in inspira to be considered for the current job opening. No amendment, addition, deletion, revision or modification shall be made to applications that have been submitted. Candidates under serious consideration for selection will be subject to reference checks to verify the information provided in the application.
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