Job description / Role
The Medical Claims - Team Lead will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards.
Team Leader will evaluate complicated pre-authorization claims, medical evaluations, direct claims coverage, errors, and claims turn-around time and process queries to achieve quality evaluations. Supervises the team with regards to productivity and efficiency.
Main Tasks
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Evaluates claims with regards to eligibility.
- Makes informed decisions on high cost and complicated cases.
- International Preauthorization.
- Trains and supervises team members.
- Attends calls and e-mails from insurance companies, clients and providers.
- Coordinates with international providers for direct billing.
- Makes suggestions to improve service.
- Increases efficiency, minimizing errors and administration time.
- Increases efficiency, minimizing errors, and administration time.
- Coordinates with different departments within the company.
Requirements
Main Requirements
- Bachelor's of Medicine (MBBS).
- 3+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
- Physically fit to carry out duties.
- Legally permitted to work in the country of operations.
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
About the Company
With over 159,000 employees from 172 nationalities across more than 70 countries, we are one of the world's most trusted insurance and asset management companies. We offer a broad range of products and services in property/casualty insurance, life/health insurance, and asset management. We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!