Replacement of Travel and assistance Officer
Job Level:
Professional
Location:
Dubai, AE
Area of Expertise:
Customer Services & Claims
Unit:
Allianz Partners
Employing Entity:
NEXTCARE Claims Management LLC
Job Type:
Full-Time
Remote Job:
Hybrid working
Employment Type:
Permanent
ID:
101744
Position Cluster:
Non-Executive
Key responsibilities/What you do:
•Manage the assigned tasks related to medical assistance cases.
•Evaluate medical claims according to the guidelines.
•Coordinate with different providers to ensure high quality of service when organizing medical assistance.
•Respond inbound and outbound telephone / e-mail Customer / Partners inquiries and ensure call quality monitoring
•Claims evaluation and processing activities such as checking policy, eligibility, claims creation in the system, follow up upon ongoing claims ensuring the requested turn around time and processing of claims and other tasks related to claims management
•Assist callers on claims process / procedure / network inquiries, explaining policy terms & conditions
•Accommodates Business Units / Travel / TPA International requests with regards to opening international files, placement of Guarantee of Payment, etc.
•Follow the complaints & escalation management process and log in complaints with action & resolution in the system / tools provided by the company
•Ensure proper system related tasks as creating files and Service Providers updates on the portal
•Record tasks in the productivity file, share with management and ensure reaching the level of productivity assigned
•Follow the internal processes and guidelines to ensure reaching the Operational KPIs (Quantity and Quality) and the attendance KPIs
•Request feedback in relation to the performed tasks and discuss with Team Leader the monthly scorecard results
•Monitor daily activities as per the communicated Service Level Agreement, create reports / statistics / analysis and report any deviation
•Attend training sessions as requested and participate in the departmental activities in accordance with the monthly schedule
•Attend internal meetings related to the job as per the internal requirements.
•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.
Key requirements/What you bring:
•Bachelor’s Degree in medical feild
•1+ years Insurance / Travel and medical assistance Operations Experience
•Fluency in English is mandatory
•Fluency in Arabic (1st), French (2nd) is a plus
•Fluency in typing
•Legally permitted to work in the country of operations.
•Physically fit to carry out duties