Medical Claims Officer - Physician

Job description / Role

Employment: Full Time

SUMMARY

The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.

• Manages routine daily claims administration work.
• Coordinates work flow & meet deadlines.
• Evaluates claims with regards to eligibility.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Handles International Preauthorization cases as required.
• Attends calls and e-mails from insurance companies, clients, and providers.
• Coordinates with international providers for direct billing.
• Makes suggestions to improve service.
• Increases efficiency, minimizes errors and administration time.

Requirements:

• Organizational & time management skills.
• Excellent team player.
• Ability to work well with all levels of internal management and staff, as well as outside clients and users.
• Ability to demonstrate sound work ethics.
• Show flexibility with excellent interpersonal skills.
• The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
• To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
• The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
• Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.

About the Company

We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!

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