Case Manager Tariffs & Analyses (m/f/d),<br/>80%, Winterthur / hybrid
Sanitas Krankenversicherung
Winterthur
Key information
- Publication date:04 August 2025
- Workload:80%
- Contract type:Unlimited employment
- Place of work:Winterthur
Job summary
Join us to handle complex business cases in healthcare. Enjoy a flexible work environment with great benefits.
Tasks
- Manage intricate business transactions and complaints.
- Process individual and collective claims with providers.
- Clarify billing issues with providers and insured members.
Skills
- You have a commercial or medical background with several years of experience.
- Fluent communication in German; knowledge of Italian and French is a plus.
- Strong numerical aptitude and interest in medical topics.
Is this helpful?
What you will achieve:
- Processing of elaborate and complex business cases
- Objection to invoices with tariff discrepancies
- Individual and collective claims against service providers
- Telephone and written clarifications with service providers and our insured regarding invoicing
- Support for the service teams in processing outpatient doctor and hospital invoices
Why you will succeed:
- You have a commercial basic education, which you have supplemented with medical basic knowledge, or you have a medical basic education with commercial further training
- You bring several years of professional experience in claims processing in the field of health or social insurance
- You have in-depth knowledge of social insurance tariffs, especially in the TARMED tariff
- You communicate fluently in German, both orally and in writing – knowledge of foreign languages such as Italian and French is a plus
- You have a flair for numbers and are medically interested
Our progressive working conditions include, among other things:
- Flexible annual working time model with at least 5 weeks of vacation
- Modern offices in urban locations
- Generous regulations for working from home
- Participation in the health insurance package
- Contributions to the pension fund significantly above the legal minimum
- Future-oriented questions and a wide range of training and further education opportunities
