Medical Claims Officer

Job description / Role

Employment: Full Time

Summary

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

• Manages routine daily claims administration work.
• Coordinates workflow and meets 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 emails 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.

• Organizational and 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.
• 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 initiative 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.

Behavioral competency

Customer & market excellence:

• Strive for excellence at every touch point with the customer.
• Foster state-of-the-art technical and operational knowledge and strive for continuous simplification.
• Be the benchmark.

Collaborative leadership:

• Empower the team and provide purpose and direction.
• Develop people, provide feedback and care to employee wellbeing.
• Collaborate and exchange best practice.

Entrepreneurship:

• Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure.
• Take ownership and responsibility.
• Embrace innovation and a culture that allows making decisions without fear of retribution.

Trust:

• Act with integrity, honor commitments, tell the truth.
• Foster diversity and inclusiveness.
• Act transparently and promote corporate social responsibility.

• Bachelor's of Medicine (MBBS) only.
• Medical practical experience (reputable insurance provider, broker or a TPA experience is a plus).
• Physically fit to carry out duties.
• Legally permitted to work in the country of operations.
• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

Great to have you on board. Let's care for tomorrow.

Company Industry: Finance, Investment & Asset Management

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