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Claims Quality Specialist

2 months ago

Dubai, Dubai, United Arab Emirates Allianz Popular SL. Full time
Job Summary

The Claims Quality Specialist will be responsible for ensuring the accuracy and quality of claims processing within the organization. This role will involve reviewing and inspecting claims to ensure compliance with operational quality standards.

Key Responsibilities
  • Claims Review and Inspection
    • Conduct thorough reviews of claims to identify any errors or discrepancies.
    • Inspect claims to ensure compliance with quality standards and regulatory requirements.
  • Documentation and Reporting
    • Prepare detailed documentation and reports on claims review and inspection findings.
    • Provide recommendations for improvements to claims processing procedures.
  • Collaboration and Communication
    • Work closely with claims management and other stakeholders to implement quality improvements.
    • Communicate effectively with team members and management to ensure seamless execution of quality initiatives.
  • Regulatory Compliance
    • Stay up-to-date with regulatory requirements and industry standards.
    • Ensure claims processing procedures are compliant with regulatory requirements.
Requirements
  • Education
    • Bachelor's Degree in a related field (e.g. healthcare, business, finance).
  • Experience
    • Minimum 5 years' experience in claims processing or auditing.
  • Skills
    • Strong analytical and problem-solving skills.
    • Excellent communication and interpersonal skills.
    • Ability to work in a fast-paced environment and meet deadlines.
About Allianz Popular SL

Allianz Popular SL is a leading insurance and asset management company dedicated to providing innovative solutions to our customers. We value diversity and inclusion in the workplace and are committed to creating a culture of excellence and teamwork.