Job description / Role
SUMMARY
The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
MAIN TASKS
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Evaluates claims with regards to eligibility.
- Takes decisions on high cost and complicated cases based on standard operating procedures.
- Handles International Preauthorization cases as required.
- 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, minimizes errors and administration time.
BEHAVIORAL REQUIREMENTS
- Organizational & 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 claims department and other departments having regard for the strict need for confidentiality.
- To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative
approach to work.
- The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
- Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others
Requirements
BEHAVIORAL COMPETENCY
Customer & Market Excellence:
- Strive for excellence at every touch point with the customer
- Foster state-of-art technical/operational knowledge and strive for continuous simplification
- Be the benchmark
Collaborative Leadership:
- Empower the team and provide purpose and direction
- Develop people, provide feedback and care to employee wellbeing
- Collaborate and exchange best practice.
Entrepreneurship:
- Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
- Take ownership and responsibility
- Embrace innovation and a culture that allows to make decisions without fear of retribution.
Trust:
- Act with integrity, honor commitments, tell the truth
- Foster diversity and inclusiveness
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 shape a better future for our customers.
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.
Note: Diversity of minds is an integral part of Allianz' company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group.
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!