Claims Officer

؜ - ؜الإمارات ؜ -

Job details

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

Job Summary

  • Advertiser: Allianz
  • Announcement date: 02/06/2022
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Salary: -
  • Phone number: -

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