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 Responsibilites:
•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.
21197 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
Minimum Requirements:
•Bachelor’s of Medicine (MBBS).
•Medical Practical Experience (reputable insurance provider, broker or a TPA experience minimum of 3 years).
•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