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The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards
Job Responsibility:
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
Requirements:
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
Nice to have:
Certified Medical Coder
Experience with senior managers
What we offer:
Allianz 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
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