Medical Claims Officer

The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.

What you do 

• Manages routine daily claims administration work. ​

• Coordinates work flow & meet deadlines. ​

• Evaluates OP claims with regards to eligibility. ​

• Apply nextcare cost containment protocols for OP claims at the retrospective review level​

• Attends calls and e-mails from insurance companies, clients, and providers.​

• Makes suggestions to improve service.​

• Increases efficiency, minimizes errors and administration time. 

• AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.

What you bring

• Bachelor’s of Medicine / Nursing / Physiotherapist / Paramedics​

• Medical Practical Experience (reputable insurance provider, broker or a TPA experience aplus) OR Entry Level​

• Physically fit to carry out duties.​

• Certified Medical Coder [Preferable]

• Legally permitted to work in the country of operations.​

• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and generalinternet navigation and research skills​

• Organizational & time management skills.​

• Excellent team player.​

• Ability to work well with all levels of internal management and staff, aswell as outside clients and users.​

• Ability to demonstrate sound work ethics. ​

• Show flexibility with excellent interpersonal skills.​

• The ability to communicate sensitively and effectively with claimsdepartment and other departments having regard for the strict need forconfidentiality.​

• To be capable of responding diplomatically to pressures and problemsshowing a calm approach to working towards deadlines and alwaysable to show an innovative and creative approach to work.​

• The ability to exercise initiatives and be able to work flexibly underpressure and to tight deadlines.​

• Experience of working with senior managers and understanding thenecessity to act in a pleasant and courteous manner and to be able towork effectively with others.​

How we hire 
 Agency Statement Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered

Key benefits/What we offer

Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.

At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.

94031 | 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. 

Great to have you on board. 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.