Medical Claims Officer

• What you do:
  • Review and handle claims according to the established standard procedure.
  • Consistently checks, tracks and filing of all claims received.
  • Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
  • Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
  • Maintain accurate and up-to-date records of all claims activities.
  • Ensure compliance with all relevant regulations, company policies, and industry standards.
  • Identify potential fraud or discrepancies in claims and take appropriate actions.
  • Collaborate with the risk management team to mitigate risks associated with claims processing.
  • Implement and maintain robust quality control measures.
  • Other Ad hoc duties as required
  
  What you bring:
  • Bachelor's degree in any Medical Field, Paramedical, Insurance, or a related field is required.
  • 1-2 years' experience in a customer focused environment, ideally in clinical, paramedical roles or TPA/Insurance roles
  • Proficiency in MS Office
  • Knowledge of insurance policies, claims procedures, and relevant regulations.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Proficiency in claims management software and data analysis tools.
  • High level of accuracy and attention to detail.
  • Ability to work independently and as part of a team.
  • Legally permitted to work in the country of operations.
  • Hybrid working option available as per business requirements.
  • Knowledgeable/ Certified in coding.

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 are there to 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 that 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 providing you with peace of mind and give the 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, 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.