Precertification Junior Assessor

This role sits at the point where medical knowledge, customer care and insurance operations meet. When a customer needs treatment, you help decide quickly and accurately what will be covered, so they get care without unnecessary delay or disputes.

It’s a good fit if you have a clinical background in anaesthesia / intensive care, you understand how treatment decisions are made in practice, and you’re comfortable translating that into clear eligibility and approval decisions in an insurance/TPA environment. You’ll be on the phone and email with providers, working in shifts, and handling time‑sensitive requests, so you need to be calm under pressure, precise with details, and able to explain decisions clearly in French, English and Arabic.

What you do

• Assess and process precertification requests and claims against medical and policy criteria, deciding on eligibility and required approvals within agreed timeframes.
• Handle incoming calls and emails from healthcare providers and internal teams, clarifying medical information and explaining coverage or decisions in a professional, confidential manner.
• Coordinate daily workflow with colleagues and other departments to meet deadlines, reduce errors, and maintain high service levels in a 24/7, shift‑based operation.
• Identify and report issues, errors, or unusual cases, suggesting practical improvements to processes, tools, and ways of working.
• Maintain accurate, complete records in our systems and follow operational standards, guidelines and regulatory requirements at all times.
• Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insight responsibly and in line with our standards for data governance, security and ethical use.

What you bring

• Bachelor’s degree in Anesthesia and Intensive Care (or closely related), with at least 2 years of clinical experience, so you can understand and assess medical information and treatment plans with confidence.
• 1+ year of claims or precertification experience in an insurance or TPA environment, with a clear understanding of how policy terms, benefits and exclusions apply in practice.
• Strong verbal and written communication skills in French, English and Arabic, with the ability to manage confidential and sometimes sensitive discussions with providers and internal stakeholders.
• Proven ability to stay accurate and organised under pressure and to tight deadlines, including in shift work, while maintaining attention to detail and high quality standards.
• Solid MS Office skills (Excel, Word, Outlook, PowerPoint) and comfortable using multiple systems and online tools to research, document and process cases.
• A collaborative, service‑focused approach: able to work effectively with senior managers, peers and external partners, respond diplomatically to problems, and contribute positively to team culture.

How we hire

We hire directly. Allianz Partners does not accept unsolicited CVs or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submissions will not be considered.

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.

96974 | 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.