Medical Benefits and Insurance Officer

OVERVIEW
**Post Number**: HRM 195
**Grade**: P-3
**Parent Sector**: Bureau of Human Resources Management (HRM)
**Duty Station**: Paris
**Job Family**: Human Resources
**Type of contract**: Fixed Term
**Duration of contract**: 2 years, renewable
**Application Deadline (Midnight Paris Time)**: 26-JAN-2025
**UNESCO Core Values**: Commitment to the Organization, Integrity, Respect for Diversity, Professionalism
OVERVIEW OF THE FUNCTIONS OF THE POST
Under the direct supervision of the Head of the Staff Pension and Insurances Unit, and the general supervision of the Chief, Staff Services Section, the incumbent participates in the management and administration of the Medical Benefits Fund, the Staff Compensation Plan and the commercial personal insurance policies offered by the Organization. S/he provides authoritative advice and interpretation of staff collective medical and insurance terms, monitors the implementation of procedures, identifies issues and develops policy revisions. S/he supervises, coaches and supports team members evaluating their performance as a team and individually, providing regular feed b ack and regular opportunities for development.
Long Description
In particular, the incumbent will be responsible for the following related key functions:
1. Medical Benefits Fund (MBF)
Provide expert advice and guidance to staff and management on Medical Benefits Fund.
Provide advice in sensitive staff cases, liaise and manage correspondence with the medical service, the third party administrator, Legal Affairs, the staff member and recommend appropriate action to senior management.
Identify issues that potentially affect MBF fund, procedures, and financial commitments.
Undertake analysis as required and provide data and advice to management on matters which affect staff rights and the potential commitment of MBF funding.
Provide data and clarifications for actuarial studies and provide information to financial auditors for audit purposes BFM.
Manage the contract and relations with third party administrator(s) and ensure corresponding implementation in the regulatory framework, work procedures and internal systems.
Liaise with third party administrator to improve communication with voluntary and compulsory members via a range of channels. Initiate administrative action for processing claims (Article 19 of the MBF Rules) against third parties in recovery of sums for the Organization.
Participate in the MBF Board meetings and prepare reports of proceedings and support working groups as necessar y.
Long Description
2. Staff Compensation Plan
Provide expert advice and guidance to staff and management on Staff Compensation Pla n.
Prepare background analysis and documentation on cases to be brought before the Advisory Committee on Compensation Claims in liaison with the Medical Doctor and Legal Affairs where necessary.
Studies and analyses compensation claims by staff members in order to advise the Head of Unit to take appropriate action according to the specific cases. Undertake analysis of contentious cases for the purpose of settling compensation claims with insurers.
Initiate administrative action for processing claims (Article 8 of the Compensation Rules) against third parties in recovering of sums for the Organization.
Supervise the maintenance of the associated accounts and the preparation of reporting on activity.
Long Description
3. Other Responsibilities
Provide expert advice and g uidance to staff and man a g ers on insurance p lans available and conditions.
Manages specific and/or contentious cases with staff /visitor and with insurance company. Prepare statistics and analysis for accountancy purpose and/or for insurance company attention.
Implements a continuous improvement approach to the systems, processes and procedures liaising with external stakeholders such as insurers, the Pension Fund, the third party administrator and internal stakeholders inside HRM and in UNESCO to do so.
COMPETENCIES (Core / Managerial) Communication (C) Accountability (C) Innovation (C) Knowledge sharing and continuous improvement (C) Planning and organizing (C) Results focus (C) Teamwork (C) Professionalism (C) - For detailed information, please consult the UNESCO Competency Framework.
REQUIRED QUALIFICATIONS
Education
Advanced university degree (Master's or equivalent) in Finance, Business Administration, Human Resources Management, Public Health or related fields.
Work Experience
Minimum four (4) years of progressively responsible and relevant professional experience in Social Security Benefits, Medical Insurance Contract Management, Staff Compensation, Human Resources management, Financial Services or Legal matters.
Experience in health insurance scheme management or administration in the UN System or similar international organisations.
Experience managing internal and external stakeholders.
Skills and Competencies
Strong verbal and written communication skills.
Strong knowledge of employee insurance schemes and/o