CSS
Luzern / hybrid
Team Leader Cost Efficiency Review / BVM 80-100%
- 21 October 2026
- 80 – 100%
- Permanent position
- German (Fluent), French (Fluent)
- 6002 Luzern / hybrid
About the job
With your team, you ensure that invoices, tariffs and suspected cases are thoroughly examined and that incorrect or abusive behaviour does not go unnoticed. In this leadership role, you combine expertise, decisiveness and a good sense of people. In doing so, you make an important contribution to ensuring that services are correctly assessed, resources are used effectively and the interests of CSS and its insured persons are protected.
Team Leader Cost Efficiency Review / BVM 80-100%
This is what your daily routine looks like
- At the core: You ensure that service and damage cases, invoices and tariffs are systematically checked and that incorrect, uneconomical or abusive claims are properly handled.
- You prioritise suspected cases, clarify them in a structured manner and initiate the necessary steps together with internal specialist departments and external partners.
- In daily operations, you manage the operational goals in the WP-BVM area and intervene when corrections in quality, priorities or resources are necessary.
- You advise managers, employees and external bodies on questions relating to cost efficiency review as well as abuse and fraud prevention.
- From individual cases, tips and data analyses, you identify patterns and develop effective approaches for further case processing.
- With thorough documentation, reliable statistics and regular reporting, you create transparency about the benefits and impact of WP-BVM activities.
What you bring with you
- First and foremost: You bring several years of leadership experience and lead clearly, reflectively and with coaching competence.
- Your experience includes solid practice in abuse, fraud or cost efficiency review – ideally in the insurance environment or in a criminological, legal or medical context.
- You handle legal issues confidently and know the relevant basics in health insurance, social insurance, civil and criminal law.
- Analytical thinking is one of your strengths, and you work confidently with Excel, Word, PowerPoint and suitable analysis tools.
- You make solution-oriented decisions, set clear priorities and proactively pursue optimisations.
- You express yourself well orally and in writing in German and/or French. Italian, English or an existing network in fraud management are a plus.
CSS Insurance
6002 Lucerne / hybrid
6002 Lucerne / hybrid
