Overview

The medical claims officer will provide quality service to clients, promptly and effectively assess and process OP claims according to operations set standards.

Main responsibilities / what to do

Manage routine daily claims administration work.

Coordinate workflow and meet deadlines.

Evaluate OP claims with regards to eligibility.

Apply Nextcare cost containment protocols for OP claims at the retrospective review level.

Attend calls and emails from insurance companies, clients, and providers.

Make suggestions to improve service.

Increase efficiency, minimize errors, and reduce administration time.

Behavioral requirements

Organizational and time management skills.

Excellent team player.

Ability to work well with all levels of internal management and staff, as well 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 the claims department and other departments while maintaining confidentiality.

Capable of responding diplomatically to pressures and problems, showing a calm approach to working towards deadlines and demonstrating an innovative and creative approach to work.

The ability to exercise initiative and work flexibly under pressure and to tight deadlines.

Experience working with senior managers and understanding the necessity to act in a pleasant and courteous manner while working effectively with others.

Minimum requirements / what to bring

Bachelor's degree in pharmacy, dentistry, medicine, nursing, physiotherapy, or paramedics.

Medical practical experience (reputable insurance provider, broker, or TPA experience is a plus) 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 general internet navigation and research skills.

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.

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.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We 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 ethnicity or cultural background, age, gender, nationality, religion, disability, or sexual orientation.

Join us. Let's care for tomorrow.