Claims Assistant Manager

Job Overview:

The Claims Assistant Manager is responsible to supervise the processing/documents handling operations for efficient claims monitoring and responding to clients according to set quality & performance standards of the Claims Management department. The incumbent is also responsible in ensuring flexibility in handling loads and changes in the department, help the team to be client-oriented to deliver quality actions, promote productivity and efficiency product offerings

What you do:

• Aligning of sales volume & lives with headcount while ensuring the Clear to Zero Service level is maintained on a daily basis.
• Ensure productivity of claims officer is appropriate and acceptable as to their level of service, experience & assigned business group or medical provider.
• Ensure the implementation of ‘Usual and customary rates’ with Medical Providers Worldwide.
• Participate in maintaining good relationships with our clients and brokers.
• Liaise with external stakeholders (brokers, group secretaries etc) and other departments (Helpline) regarding escalated issues.
• Coach team members to technically assess claims, thereby contributing towards the attainment of targeted decline ratios.
• Work closely with the Company Medical Director.
• Carry out a change management process as required.
• Support the day to day organization of the department through strong Man Management skills with a focus on cost containment being a key factor.
• Ensure a program of quality is maintained within Department
• In the absence of the Claims Manager, furnish the Head of Operations/General Manager with weekly claims Reports for communication to the EC/BOM and attend the weekly business department update meetings with the Head of Operations.
• Carry out individual performance management in order to
  • Maintain and improve individual productivity, quality and decline rate   levels;
  • Facilitate an effective flow of information within the department;  
  • Foster and maintain staff morale; and   
  • Promote staff personal development
• Carry out regular team meetings to improve internal communication and to support the Claims Manager by informing staff of departmental policies and protocols.  Idea generation and problem solving should be part of such meetings.
• Identify and implement system & process enhancement ideas to maximise productivity and improve the quality of adjudication decisions.
• Actively participate in various operational activities, outside of claims, to ensure that operational service delivery is coordinated to meet and exceed clients’ expectations.
• To supervise and ensure the effective management of their assigned claims team to ensure company objectives are achieved. These include “Clear to Zero”; daily closing targets; quality; staff retention and motivation.
• Verify and release processed claims with payment amounts in excess of Team Leaders to ensure the accurate settlement of high value claims.
• Ensure recruitment is carried out in a timely manner in order that there is minimal operational effect from staff turnover.
• Promote & develop leadership styles, Behaviors and Technical Competencies within Team Leaders and Senior Staff

What you bring:

• Degree or relevant professional qualifications in business, operations management
• Strong knowledge & experience of the Medical Insurance Industry or within a management function of a Medical Provider.
• Proven record in running and organising a team or department.
• Strong Commercial, Business knowledge.
• Completion or progression towards the Diploma in Private Medical Insurance.
• An ability to communicate effectively, both orally and in writing, in a pressurised working environment
• Strong strategic & planning skills
• Effective time management skill
• Results Driven
• Flexible.
• Ability to be accountable and responsible for decisions

At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.

86737 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

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. 

Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz‘ company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.