Medical Claims Officer

Job description / Role

Key responsibilities / what you do:

Manages routine daily claims administration work.
Coordinates workflow and meets deadlines.
Evaluates OP claims with regards to eligibility.
Applies cost containment protocols for OP claims at the retrospective review level.
Attends calls and emails from insurance companies, clients, and providers.
Makes suggestions to improve service.
Increases efficiency, minimizes errors, and reduces administration time.

Key requirements / what you bring:

• Bachelor of medicine.
• Medical practical experience (reputable insurance provider, broker, or a 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.
• 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.
• Shows flexibility with excellent interpersonal skills.
• Ability to communicate sensitively and effectively with claims department and other departments, having regard for the strict need for confidentiality.
• 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.
• 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 and to work effectively with others.

Key benefits / what we offer:

Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We empower and encourage you with your personal and professional development, ensuring that you take control by offering a large variety of courses and targeted development programs. All of this takes place in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build work well programs to provide you with peace of mind and give flexibility in planning and arranging for a better work-life balance.

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, 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.

Diversity of minds is an integral part of Allianz's company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, 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 the Allianz Group.

About 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 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.

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!