Specialist - AAGI A&H Claims Payment CPU1

The position is responsible to registering and opening claim cases from both members and providers, verifying the accuracy of claim documentation, assessing policy coverage and benefit limits, and approving claim payments within assigned authority. The role acts as  a key liaison between customers, providers, and internal departments to ensure accurate and efficient claim processing while delivering a positive customer experience.

• Register and open claim cases from both memners and providers.
• Verify the accuracy and completeness of claim documents.
• Assess policy coverage and benefit limits in accordance with policy terms and conditions.
• Approve claim payments within assigned authority limits.
• Coordinate with relevant stakeholders(e.g., Underwriting, Provider Network, hospitals, or third parties) to obtain additional information when required.
• Record claim details and processing status accurately in the Claims Management System in a timely manner.
• Communicate and provide updates on claim status to members or providers.
• Support quality assurance checks and provide feedback for process improvement in claims operations.
• Other assignment

Qualifications 

Minimum 2 Years of experience in claims register/assessor or other related fields 

Bachelor’s Degree in Public Health (Medical Technology) or other related fields in insurance industry.

Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage.

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.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow.