Medical Claims Assessor – retrospective review | Allianz Partners Dubai

1 month ago

dubai, United Arab Emirates Allianz Partners Full time
Medical Claims Assessor – retrospective review | Allianz Partners DubaiAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.For more information, please visit: Claims Assessor – retrospective review | Allianz Partners Dubai | Apply NowEvaluates medical claims/invoices from the technical and medical perspectives as per policy terms and conditions.Apply the claims submission procedure regarding copayment calculation, penalty calculation and ensure that submission timeline and process are followed.Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.Ensures that provider’s fees and service items charges coincide with their existing contract price list with Nextcare.Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing.Screens claim documents and process claim adjustment.Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing.Ensures adaptability in various work-related tasks to be able to facilitate a multi-tasking role.Ensures that high quality standard of work performance is achieved at all times.Maintains daily productivity targets and service levels.BEHAVIORAL REQUIREMENTS:Strong verbal and written communication skills.Show flexibility, excellent interpersonal skills.Team Player.Attention to detail and quality.Ability to work well with all levels of internal management and staff, as well as outside clients and users.Ability to train other staff.The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.BEHAVIORAL REQUIREMENTS:Customer & Market Excellence:Strive for excellence at every touch point with the customerFoster state-of-art technical/operational knowledge and strive for continuous simplificationBe the benchmarkCollaborative Leadership:Empower the team and provide purpose and directionDevelop people, provide feedback and care to employee wellbeingCollaborate and exchange best practice.Entrepreneurship:Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failureTake ownership and responsibilityEmbrace innovation and a culture that allows to make decisions without fear of retribution.Trust:Act with integrity, honor commitments, tell the truthFoster diversity and inclusivenesAct transparently and promote corporate social responsibility.Minimum Requirements:Bachelor’s of Medicine ( MBBS ) or Pharmacy.2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).Physically fit to carry out duties.Certified Medical CodeLegally permitted to work in the country of operations.Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skillsDon’t miss out on this exciting opportunity – apply now at dubaiofferz.com
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