SWICA Gesundheitsorganisation
Winterthur
Claims Officer Medication Benefits (all)
- 30 September 2026
- 80 – 100%
- Permanent position
- German (Native language)
About the job
80-100%
We are committed to health – because health is everything. We stand for this, also as an employer. We are convinced: Only in a healthy working environment do the best talents feel comfortable and progress: professionally and personally. We give our all for this.
In this demanding and meaningful role at our headquarters in Winterthur, you assess cost approval requests for medication therapies outside the regular reimbursement regulations. You thus make an important contribution for insured persons with predominantly severe or chronic illnesses and ensure timely and high-quality processing of complex requests.
Your workplace
Winterthur
We are committed to health – because health is everything. We stand for this, also as an employer. We are convinced: Only in a healthy working environment do the best talents feel comfortable and progress: professionally and personally. We give our all for this.
In this demanding and meaningful role at our headquarters in Winterthur, you assess cost approval requests for medication therapies outside the regular reimbursement regulations. You thus make an important contribution for insured persons with predominantly severe or chronic illnesses and ensure timely and high-quality processing of complex requests.
Claims Officer Medication Benefits (all)
This is how you shape health
- Independent examination and assessment of cost approval requests in the area of Off Label Use according to Art. 71a and 71b KVV
- Coordination and assessment of trusted medical clarifications
- Conducting reimbursement negotiations with pharmaceutical companies
- Recording and maintaining relevant data of requests in SAP and other systems
- Creation and maintenance of work instructions
- Ensuring timely and qualitatively flawless processing of requests
- Close collaboration with internal specialists
What distinguishes you
- Completed training as a pharmacy specialist or comparable medical training
- Ideally professional experience in the benefits area of a health insurance company
- Interest in medical issues and medication therapies
- High service orientation and pronounced sense of responsibility
- Precise, structured and independent working style
- Resilience and the ability to make high-quality decisions even under time pressure
- Very good user knowledge of MS Office programmes
- Confident German language skills in spoken and written form; knowledge of French and/or Italian is an advantage
Why SWICA
- We rely on humanity. That is why we place openness, respect and trust at the centre of our everyday work. We tackle tasks, take responsibility and think in solutions – together, for our customers. That is also why we have been number 1 in customer satisfaction for many years.
- We trust you and give you space. With annual working hours, at least 5 weeks’ holiday and, if desired, the option to buy additional holiday. With part-time models and generous home office options within the possibilities of the role, you can organise your everyday life largely flexibly.
- We appreciate and reward your work – with a market-appropriate salary, up to 1500 francs annual allowance for personal wishes and generous contributions to basic and supplementary insurance for you and your family.
- We offer you prospects. With a generous continuing education regulation, we support your professional and personal development – for your current role and your goals for tomorrow.
- Because health is everything. With our corporate health management and region-specific offers, we take care of your well-being. And if things turn out differently: 100% net salary continuation.
- We think long-term. With three savings plans, workload-dependent coordination deduction and benefits well above the legal minimum, you are well provided for your future.
Your workplace
Winterthur
Do you have questions?
Andri Kömeter, HR Recruiting, will be happy to provide information.
+41 52 244 26 49
Only direct applications will be considered.
