Permanent Contract

Operations Executive – France M/F

Modified on 02/10/2024

  • Dublin - Ireland
  • Operations
  • 2024-92844

Job description

Duties and responsibilities

To efficiently investigate and process claims, and administer the validation of medical subscriptions, implementing streamlined processes and procedures and provide business support on all operational aspects within your team and your department.

Claims:

  • Assess and process claims within the PPI portfolio according to relevant policy terms and conditions
  • Process and decision claims over the delegation for all businesses based on recommendation received from TPA and according to the relevant policy terms and conditions. Confirm approval to TPA
  • Provide customer service for inbound and outbound calls
  • Check monthly reporting per partner for its accuracy and completeness
  • Check Claims transfer request forms and sign off monthly/weekly confirming accuracy
  • Propose process improvements to the processing investigation and settlement of claims
  • Report on productivity to Team Leader/Manager
  • Provide business support where required in Operations area
  • Maintain an individual internal quality level > 95% on a monthly basis


Medical Subscriptions (if applicable):

  • To administer subscriptions input and validation following recommendation from medical underwriters
  • To ensure proper communication between the team staff in the Dublin office, the local TPAs, and medical underwriters to ensure timely decisions are communicated to the partners following service standards


Complaints management back up (if Applicable):

  • To assist in the management and reporting of Complaints when complaints analyst is out of the office or if needed
  • To ensure and follow the complaints procedure associated

 

Business Support:

  • Assist in creating and updating claims, subscriptions procedures as and when necessary, for new and existing business
  • Assist the Team Leader in ensuring that all business documentation for the department is up to date, filed and archived
  • Present suggestions for reviewing and updating procedures to Team Leader and implement, coordinate, and monitor any upgrades to procedures as they are signed off
  • Provide training both internal & external
  • Maintain various regular and ad hoc reports and provide to your Team Leader
  • Perform other work or projects as and when selected by the Team Leader or Operations Manager

Complément

Partner Management:
To provide customer service support for the business portfolios according to SLA
Travel on Operational visits to partners with Team Leader/ Operations Manager ensuring prior organization by means of Agenda and Minutes to be circulated on return
Liaise with all partners in order to provide follow-up trainings and clarification on operational queries, understanding of policy wording and/or working processes via conference calls or emails
Relationship building and ongoing management is a large part of this role

Projects:
Participate in any projects related to your market including but not limited to – new product implementation and ongoing administering, new partnership implementation and ongoing administering
Training related to day-to-day business, training of new partnerships, new product training internally within the team/department or within the partnerships
Suggest ideas for continuous improvement to Team Leader and Manager

Interface:
Insurance Division: Dublin Management Team and Insurance Division in France (Administration, Business Development and other services)
Group: Group claims & subscriptions departments
External: Partners in Europe: Finance Companies & TPA

    • Position with management
    • No
    • Minimum level of study
    • High school / Secondary school / A levels / AS levels / IB
    • Training / Specialization
      • Any relevant qualification including degree or insurance qualification would be an advantage

      • Experience in Claims handling, Medical U/W would be an advantage
    • Minimum experience level
    • 0-2 years
    • Compétences recherchées
    • Skills:
      • English and French - any other European languages an advantage
      • Good customer relations and communication
    • Languages
    • English and French - any other European languages an advantage
  • Crédit Agricole Assurances, France's largest insurance group, unites together Crédit Agricole's insurance subsidiaries. The Group offers a range of savings, retirement, health, personal protection and property insurance products and services. They are distributed by the Crédit Agricole's banks in France and in seven other countries around the world by financial advisers and multi-line insurance agents. The Crédit Agricole Assurances companies serve individuals, professionals, farmers and businesses. At the end of 2023, Crédit Agricole Assurances has 5,800 employees and Its premium income amounted to €37.2 billion (IFRS). As the leader creditor insurance operator in France,the third-biggest European specialist in this segment, the 1rst in France concenrning the death benefit, funeral and dependence insurances , we provide a comprehensive range of financial protection products and services to cover the risks due to death, off work, dependence for families, employees and professionals through multi-channel pathways integrated into our partners' processes : retail banks and specialised financing companies in France and Europe. It represents around 500 employees located in Paris, Lille, Dublin and Milan. Convinced that diversity is a source of enrichment for everyone, we are committed to inclusion. Our jobs are open to everyone, regardless of disability or individuality.

Crédit Agricole Assurances
Crédit Agricole Assurances
Crédit Agricole Assurances

Crédit Agricole Assurances

Operations Executive – France M/F

Published the 02/10/2024

Permanent Contract
  • Dublin - Ireland
  • Operations
  • 2024-92844
Join
-us

Our advantages

Working from home

This is a working method that has existed within Crédit Agricole Assurances for many years.

Training

Numerous face-to-face and remote levers: learning from others, giving and receiving feedback, taking training courses (124,000 hours by 2023), enhancing experience, taking on new missions.

Crossovers

A wide range of support (events, workshops, guidance tools, practical information sheets, advice, etc.) and a variety of career paths within our Insurance Group and throughout the Crédit Agricole Group.

Companies

Sites in Paris, the French regions and 8 other countries: Ireland, Italy, Spain, Japan, Luxembourg, Portugal, Poland and Greece.

Banking benefits

Banking benefits for staff

Working from home

This is a working method that has existed within Crédit Agricole Assurances for many years.

Training

Numerous face-to-face and remote levers: learning from others, giving and receiving feedback, taking training courses (124,000 hours by 2023), enhancing experience, taking on new missions.

Crossovers

A wide range of support (events, workshops, guidance tools, practical information sheets, advice, etc.) and a variety of career paths within our Insurance Group and throughout the Crédit Agricole Group.

Companies

Sites in Paris, the French regions and 8 other countries: Ireland, Italy, Spain, Japan, Luxembourg, Portugal, Poland and Greece.

Banking benefits

Banking benefits for staff

Working from home

This is a working method that has existed within Crédit Agricole Assurances for many years.

Training

Numerous face-to-face and remote levers: learning from others, giving and receiving feedback, taking training courses (124,000 hours by 2023), enhancing experience, taking on new missions.

Crossovers

A wide range of support (events, workshops, guidance tools, practical information sheets, advice, etc.) and a variety of career paths within our Insurance Group and throughout the Crédit Agricole Group.

Companies

Sites in Paris, the French regions and 8 other countries: Ireland, Italy, Spain, Japan, Luxembourg, Portugal, Poland and Greece.

Banking benefits

Banking benefits for staff

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