Job Description

Key responsibilities will include, but are not limited to, the following/ what you do
• Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
• Use Allianz Partners client database accurately and effectively to ensure reports generated give a true reflection of the department's workload, which consequently facilitates effective target planning
• Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
• Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
• In line with the company's policy on cost containment identify duplicate payments, overbilling, up coding, possible non-disclosure and fraudulent claims
• Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
• Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
• Assume additional tasks to effectively support the Team Leader to deliver on team KPI's and deputise for Team Leader, as needed
• Give support and guidance on escalated issues, complaints and challenging claims and lead by example
• Ensures adaptability in various claims handling work-related tasks to be able to facilitate a multi-tasking role.
• Ensures that high quality targets (standard of work performance) are achieved at all times.
• Support your Team Leader to drive engagement within the Team
• Other Ad hoc duties as required




Key Requirments/ what you bring :

• 1-2 years' experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Proficiency in MS Office
• Completion or progression towards the Diploma in Private Medical Insurance.
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Team player
• Physically fit to carry out duties.
• Ability to demonstrate sounds work ethics.
• Ability to work under pressure and to meet tight deadlines and service standards



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

46704 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

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

Job Level: Professional
Location: Dubai, AE
Area of Expertise: Customer Services & Claims
Unit: Allianz Partners
Employing Entity: NEXTCARE Claims Management LLC
Job Type: Full-Time
Remote Job: Hybrid working
Employment Type: Permanent
ID: 46704
Position Cluster: Non-Executive