Health Claims Adjuster

Are you ready to be part of a dynamic, innovative team that is leading the industry? We’re seeking ambitious individuals who strive for excellence and want to make a real impact. If you’re looking for growth, rewarding opportunities, and a vibrant workplace, we want to hear from you!

Become a key player in our young and energetic Health Department! In this senior role, you will play a pivotal part in ensuring the fair and timely assessment of health insurance claims, mentoring junior claim handlers, and contributing to the continuous improvement of our claims processing procedures. This role is perfect for someone who loves to explore new challenges, takes initiative, and enjoys connecting with people.

• Conduct thorough reviews and evaluations of health insurance claims to determine validity and coverage.
• Liaising with healthcare providers.
• Authorising direct settlements.
• Generating statistical reports on claims figures and other data.
• Liaising with foreign hospitals at claims stage.
• Communicate effectively with policyholders, healthcare providers, and internal stakeholders to resolve claim inquiries and disputes.
• Make informed decisions on claim approvals or denials, ensuring compliance with policy terms and regulatory requirements.
• Identify areas for improvement in claims processing and implement strategies to enhance efficiency and accuracy.
• Provide guidance and support to junior claim handlers, fostering a collaborative and productive work environment

Qualifications and skills:

• Minimum two years of experience within a Health Claims department however, experience in other classes of insurance will be considered
• Possess a qualification in either insurance, business, finance, healthcare, or a related field.
• Proficiency in Microsoft Office.
• Excellent analytical, decision-making, strong attention to detail, and communication skills.
• Fluent in spoken and written English. Knowledge of the Maltese language would be an asset.
• Team player with the ability to work independently.
• Leadership skills

Join a reputable organisation that values its employees and provides top-notch training, a supportive environment, and an excellent work-life balance. Our benefits include:

Generous Remuneration Package

• Competitive salary.
• Exclusive Discounts: Save on insurance products, gym memberships, retail outlets and more
• Clothing Allowance: Financial support for purchasing work attire

Work-Life Balance

• Summer Hours: Enjoy shorter working hours during the summer months
• Child Sick Leave: Additional special paid child sick leave and utilisation of own sick leave to care for sick child
• Carers’ Leave: Additional special paid leave to care for sick relative

Health and Wellbeing

• Comprehensive Insurance Coverage: Includes life, personal accident and health insurance
• Consultation Clinic: Monthly on-site General Practitioner to address employee health and wellness needs
• Mental Health Support: Confidential access to mental health support at company’s expense
• Eye test: VDU eye test for employees who make use of electronic equipment

Career Development

• Educational Support: Study support and additional leave for study and exams
• Memberships: reimbursement for professional membership fees
• Bonus: Qualification Allowance upon obtaining certain qualifications

Training and Professional Development:

• Training: Regular training sessions held by experienced in-house trainers and professional training providers
• Online Training: Access online courses and resources including CPD training sessions
• Seminars and Conferences: Participate in industry seminars and conferences to stay updated on the latest trends and network with professionals

Community and Social Engagement

• Social Events: Join our fun and engaging social events
• Volunteering Leave: Paid leave for volunteering activities
• Corporate Social Responsibility: Opportunity to support and impact social and environmental causes

GasanMamo is committed to a policy of equal opportunities in all aspects of employment and encourages applications from all the community, irrespective of race, religion, gender, disability, age or sexual orientation.