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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 shape a better future for our customers.
Job Responsibility:
Assesses approval of medical approvals as well as policy use
Checks treatment plan is necessary for the patient
Inputs verbal and written claims approvals regularly
Decides approvals as per policy conditions
Assess high-cost claims and provide decision on high cost and complicated cases
Provides clear feedback on queries from call Centre team
Provides clients an understanding of any declined medical claims
Coordinates workflow & meet deadlines
Evaluates claims with regards to eligibility
Requirements:
Bachelor of Medicine\Pharmacy\Dentistry
2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus)
Legally permitted to work in the country of operations
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
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
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