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Since 1890, all around the globe, we at Allianz have been working hard to secure people’s lives and give our customers courage for what’s ahead. We are a diverse community of experts delivering outstanding insurance and asset management products in more than 70 countries, helping you get ready for the best, by being prepared to avoid the worst but anticipating the best |
Reimbursement Claims Assessor provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
Reimbursement Claims Assessor is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to.
Key responsibilities/What you do:
Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions.
Channels claims officers in handling difficult medical cases and optimize the quality and quantity output.
Checks particular treatment plan is necessary for the patient.
Refers for a second opinion for cases where there is doubt in treatment plan.
Provides clients an understanding of any declined medical claims.
Maintains daily productivity targets and service levels.
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Key requirements/What you bring:
Bachelor's of Medicine ( MBBS ) or Pharmacy.
2+ 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
Key benefits/What we offer:
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 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.
Reimbursement Claims Assessor is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to.
Key responsibilities/What you do:
Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions.
Channels claims officers in handling difficult medical cases and optimize the quality and quantity output.
Checks particular treatment plan is necessary for the patient.
Refers for a second opinion for cases where there is doubt in treatment plan.
Provides clients an understanding of any declined medical claims.
Maintains daily productivity targets and service levels.
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Key requirements/What you bring:
Bachelor's of Medicine ( MBBS ) or Pharmacy.
2+ 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
Key benefits/What we offer:
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 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.
