Claims Officer

؜ - ؜الإمارات ؜ -

تفاصيل الوظيفة

Role Purpose:


The role of Claims Officer involves processing medical claims for clients
worldwide. We ensure a high level of client service while processing claims
within an industry leading ‎48 hours. The Claims Department is a very fast
paced and challenging environment, with many different languages used and a
mixture of cultures.
Key Responsibilites:


Key responsibilities will include, but are not limited to, the following:



  • Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target

  • Use AWC's client database accurately and effectively to ensure reports generated give a true reflection of the department's workload, which consequently facilitates effective target planning

  • Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention

  • Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.

  • In line with the company's policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims

  • Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction

  • Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills


  • Other Ad hoc duties as required
    Key Requirements:




  • ‎1 - ‎2 years' experience in a customer focused environment, ideally in an administrative role



  • Proficiency in MS Office

  • Completion or progression towards the Diploma in Private Medical Insurance.

  • A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.

  • Fluency in English and a second language.

  • Ability to work under pressure and to meet tight deadlines and service standards

ملخص الوظيفة

  • المُعلن : Allianz
  • تاريخ الإعلان : 02/06/2022
  • نوع العمل : -
  • مستوى الخبرة : -
  • المستوى التعليمي : -
  • الراتب : -
  • الهاتف : -

وظائف أخرى مثل هذه الوظيفة

الإمارات
15/03/2023

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the busines…

بورسعيد
17/03/2023

SCCT is strategically located at the mouth of the Suez Canal - offering zero deviation from one of the busiest shipping lanes in the world - and creating unique access to key markets in the East Mediterranean s, SCCT is capable of handling the largest containerships in the global container . We off…

الكويت
01/11/2023

**Date:** 31 Oct 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

الكويت
14/11/2023

**Date:** 29 Nov 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

الكويت
02/12/2023

**Date:** 28 Dec 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

مصر
07/04/2023

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the busines…

مصر
01/05/2023

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the busines…

القاهرة
25/07/2022

#### **Job Description** * Ensure assessment of claims in an efficient and timely manner. * Assess claims according to the company procedures & policies. * Follow claims procedures & philosophy in assessing and responding to various claims queries. * Liaise with customers/beneficiaries & sa…

مصر
12/02/2023

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the busines…

مصر
21/02/2023

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the busines…

Language: English