Claims Officer

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 business,
which has a number of well-known customer facing brands such as Allianz Care,
Nextcare and Medi24.

The International Health line of business provides international health, life
and disability insurance and services, reinsurance and administration services
to a wide range of customers. These include multinational companies,
intergovernmental organisations (IGOs), non-governmental organisations (NGOs),
private individuals, families and students. Our mission is to ensure that
customers have access to quality healthcare through our support, care and
commitment to go the extra mile. We are a truly global health partner for our
customers, ensuring fast and simple access to the best advice, treatment and
value for our customer.
Summary:

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.

Main responsibilities:

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
  Minimum Requirments:

  
  


• 
  

  ‎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

Job Level:
Professional
Location:
AE
Available until:
‎24/‎04/‎2023
Area of Expertise:
Customer Services & Claims
Unit:
Allianz Partners
Employing Entity:
NEXTCARE Claims Management LLC
Job Type:
Full-Time
Remote Job:
Not applicable
Employment Type:
Permanent
ID:
‎24270