Medical claims officer - physician only

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. 

What you bring

• Bachelor’s of Pharmacy / Dentistry / 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.​

 
What we offer

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring  that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

73368 | Customer Services & Claims | Professional | PG08 | Allianz Partners | Full-Time | Permanent

We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in.  We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.