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Medical Claims Specialist

2 weeks ago

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

The Medical Claims – Assessor role at Allianz Popular SL involves providing quality service to clients by promptly and effectively assessing and processing claims according to established standards.

Key Responsibilities:
  1. Manage routine daily claims administration work, ensuring timely and accurate processing of claims.
  2. Evaluate claims for eligibility, applying knowledge of insurance industry practices and company policies.
  3. Communicate effectively with insurance companies, clients, and providers via phone and email.
  4. Maintain a high level of efficiency, minimizing errors and administration time while meeting operational standards.
  5. Collaborate with different departments within the company to ensure seamless claim processing.
Behavioral Requirements:
  1. Demonstrate strong verbal and written communication skills, with the ability to maintain confidentiality in sensitive matters.
  2. Show flexibility and excellent interpersonal skills, adapting to changing priorities and deadlines.
  3. Exercise initiative and work flexibly under pressure, applying knowledge of overall insurance industry practices.
  4. Demonstrate ability to work well with senior managers, understanding the need to act in a professional and courteous manner.
  5. Respond diplomatically to pressures and problems, maintaining a calm approach to working towards deadlines.
Minimum Requirements:
  • Bachelor's degree (Nursing) with at least 2 years of clinical experience or equivalent.
  • 3+ years of claims processing experience in an Insurance / TPA environment, preferably with coding experience.
  • Must be physically fit to carry out duties and legally permitted to work in the country of operations.
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.