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Medical Claims Officer

2 months ago

Abu Dhabi, Abu Dhabi, United Arab Emirates Allianz Partners Full time

Job Summary:

We are seeking a highly organized and detail-oriented Medical Claims Officer to join our team at Allianz Partners. As a Medical Claims Officer, you will be responsible for managing routine daily claims administration work, ensuring timely and accurate processing of claims.

Key Responsibilities:

  • Claims Administration: Manage and coordinate the daily claims administration process, ensuring compliance with company policies and procedures.
  • Workflow Coordination: Coordinate with internal stakeholders and external providers to ensure smooth workflow and meet deadlines.
  • Claims Evaluation: Evaluate claims for eligibility and make decisions on high-cost and complicated cases based on standard operating procedures.
  • 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 to inquiries and resolving issues in a timely manner.
  • Process Improvement: Identify opportunities to improve processes and make suggestions to increase efficiency, minimize errors, and reduce administration time.

Requirements:

  • Organizational Skills: Possess excellent organizational and time management skills to prioritize tasks and meet deadlines.
  • Communication Skills: Demonstrate strong communication and interpersonal skills to work effectively with internal stakeholders, external providers, and clients.
  • Work Ethics: Demonstrate sound work ethics and a commitment to delivering high-quality results.