Over view
The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards

Main responsbilities/ what to do

Manages routine daily claims administration work. 
Coordinates work flow & meet deadlines. 
Evaluates OP claims with regards to eligibility. 
Apply nextcare cost containment protocols for OP claims at the retrospective review level
Attends calls and e-mails from insurance companies, clients, and providers.
Makes suggestions to improve service.
Increases efficiency, minimizes errors and administration time. 

Behavioural requirments

Organizational & time management skills.
Excellent team player.
Ability to work well with all levels of internal management and staff, as well as outside clients and users.
Ability to demonstrate sound work ethics. 
Show flexibility with excellent interpersonal skills.
The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
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.

Minimum Requirments/ what to bring
Bachelor’s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
Physically fit to carry out duties.
Certified Medical Coder [Preferable]
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

Over view
The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards

Main responsbilities / what to do

Manages routine daily claims administration work. 
Coordinates work flow & meet deadlines. 
Evaluates OP claims with regards to eligibility. 
Apply nextcare cost containment protocols for OP claims at the retrospective review level
Attends calls and e-mails from insurance companies, clients, and providers.
Makes suggestions to improve service.
Increases efficiency, minimizes errors and administration time. 

Behavioural requirments

Organizational & time management skills.
Excellent team player.
Ability to work well with all levels of internal management and staff, as well as outside clients and users.
Ability to demonstrate sound work ethics. 
Show flexibility with excellent interpersonal skills.
The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
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.

Minimum Requirments / what to bring
Bachelor’s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
Physically fit to carry out duties.
Certified Medical Coder [Preferable]
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. 
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Join us. Let's care for tomorrow.