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Medical Claims Officer

2 months ago

Dubai, Dubai, United Arab Emirates Allianz Popular SL. Full time
Medical Claims Officer Role

About the Role

We are seeking a highly skilled Medical Claims Officer to join our team at Allianz Partners. As a Medical Claims Officer, you will be responsible for providing quality service to clients, assessing and processing claims, and making decisions based on standard operating procedures.

Main Responsibilities

  • Manage daily claims administration work, ensuring timely and effective processing.
  • Evaluate claims for eligibility, making informed decisions based on established criteria.
  • Take ownership of high-cost and complicated cases, applying sound judgment and expertise.
  • Handle international preauthorization cases, coordinating with providers and clients as needed.
  • Communicate effectively with insurance companies, clients, and providers, responding to inquiries and resolving issues.
  • Collaborate with international providers for direct billing, ensuring seamless transactions.
  • Identify opportunities for process improvement, suggesting enhancements to increase efficiency and minimize errors.

Behavioral Requirements

  • Excellent organizational and time management skills, with a focus on meeting deadlines.
  • Strong team player with excellent interpersonal skills, able to work effectively with all levels of management and staff.
  • Ability to demonstrate sound work ethics, maintaining confidentiality and discretion when handling sensitive information.
  • Flexibility and adaptability, with a willingness to take on new challenges and responsibilities.
  • Excellent communication skills, with the ability to respond diplomatically to pressures and problems.

Minimum Requirements

  • Bachelor's degree in Medicine (MBBS) or equivalent.
  • Relevant medical practical experience, preferably in insurance, broking, or TPA environments.
  • Physical fitness to perform duties, with the ability to work in a fast-paced environment.
  • Legally permitted to work in the country of operations.
  • Proficiency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

About Allianz Partners

Allianz Partners is a leading insurance and asset management company, committed to caring for our employees, their ambitions, and challenges. We believe in a diverse and inclusive workforce, welcoming applications from individuals with diverse backgrounds, experiences, and perspectives.

We are proud to be an equal opportunity employer, committed to creating an environment where everyone feels empowered and valued. Join us in shaping a better future for our customers, and let's care for tomorrow.