Medical Claims Senior Officer

2 weeks ago


Dubai, Dubai, United Arab Emirates Allianz Partners Full time

Job Summary

We are seeking a highly skilled Medical Claims Senior Officer to join our team at Allianz Partners. As a key member of our claims management team, you will be responsible for managing routine daily claims administration work, coordinating workflow, and meeting deadlines.

Key Responsibilities

  • Claims Administration: Manage routine daily claims administration work, ensuring timely and accurate processing of claims.
  • Workflow Coordination: Coordinate workflow and meet deadlines, ensuring seamless communication with internal stakeholders and external partners.
  • Claims Evaluation: Evaluate claims with regards to eligibility, ensuring compliance with company policies and procedures.
  • Decision Making: Take decisions on high-cost and complicated cases based on standard operating procedures, exercising sound judgment and discretion.
  • International Preauthorization: Handle International Preauthorization cases as required, ensuring compliance with regulatory requirements.
  • Communication: Attend calls and emails from insurance companies, clients, and providers, responding promptly and professionally.
  • International Coordination: Coordinate with international providers for direct billing, ensuring seamless communication and timely resolution of issues.
  • Process Improvement: Make suggestions to improve service, increasing efficiency, minimizing errors, and administration time.

Behavioral Requirements

  • Organizational Skills: Demonstrate strong organizational and time management skills, prioritizing tasks and meeting deadlines.
  • Teamwork: Exhibit excellent teamwork skills, working collaboratively with internal stakeholders and external partners.
  • Communication Skills: Demonstrate excellent communication skills, both written and verbal, with the ability to communicate sensitively and effectively with claims department and other departments.
  • Flexibility: Show flexibility and adaptability, responding diplomatically to pressures and problems, and exercising a calm approach to working towards deadlines.
  • Initiative: Demonstrate the ability to exercise initiatives, taking ownership of tasks and projects, and working proactively to achieve goals.


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