Medical Claims assessor - #49345

Allianz Partners

Date: 1 week ago
City: Dubai
Contract type: Full time
Summary The Medical Claims – Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards
Main Tasks
  • Manages routine daily claims administration work.
  • Coordinates work flow & meet deadlines.
  • Evaluates claims with regards to eligibility.
  • International Preauthorization.
  • Attends calls and e-mails from insurance companies, clients, and providers.
  • Makes suggestions to improve service.
  • Increases efficiency, minimizes errors, and administration time.
  • Coordinates with different departments within the company.
  • Reports errors when detected.

Behavioral Requirements
  • Strong verbal and written communication skills. Must have the ability to communicate sensitively and effectively with claims department and other departments having regards for the strict need for confidentiality.
  • Show flexibility, excellent interpersonal skills.
  • Team Player.
  • Knowledge of overall insurance industry practices is a plus; 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.
  • 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.
  • Ability to work well with all levels of internal management and staff, as well as outside clients and users.
  • Flexible and ability to work shift .

Behavioral Competency Customer & Market Excellence:
  • Strive for excellence at every touch point with the customer
  • Foster state-of-art technical/operational knowledge and strive for continuous simplification
  • Be the benchmark
Collaborative Leadership:
  • Empower the team and provide purpose and direction
  • Develop people, provide feedback and care to employee wellbeing
  • Collaborate and exchange best practice.
  • Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
  • Take ownership and responsibility
  • Embrace innovation and a culture that allows to make decisions without fear of retribution.
  • Act with integrity, honor commitments, tell the truth
  • Foster diversity and inclusiveness
Act transparently and promote corporate social responsibility Minimum Requirements
  • Bachelor’s degree (Nursing): with at least 2 years of clinical experience.
  • 3+ years claims processing experience in an Insurance / TPA environment, A Must to have coding Expierence.
  • Physically fit to carry out duties.
  • Legally permitted to work in the country of operations.
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Job Level: Professional Location: Dubai, AE Area of Expertise: Operations Unit: Allianz Partners Employing Entity: NEXTCARE Claims Management LLC Job Type: Full-Time Remote Job: 100% on-site Employment Type: Permanent ID: 44264 Position Cluster:

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