Senior Claims processing officer

Main responsbilites/ What to do

• Responsible for training of new Claim officers for both Clinic & Standard Claim.
• Handles regular monthly Audit of both DB and RI team along with targeted Audit
• Provides periodic team update on claim processing and guidelines for both Clinic & Standard Claims.
• Scrutinize Audit results and provide recommendations to the Claims Team Leader and to individual CO.
• Handle Suspicious cases co-ordinating with the global team and also contacting the member and provider when required.
• Responsible in handing Underwitten policies and reporting.
• Handle queries from TPA, CRM and providers.
• Aid in Reconciliation and Resubmission on Direct Billing Claims.
• Support processing team and assist requests from Escalations such as contacting the provider in UAE and outside.
• Ad Hoc in processing claims.
• Knowledge on TPA Processes and support on the queries along with maintaining the trackers.
• Knowledgeable in DHA and HAAD Circular update.
• Align with Global counterparts identifying the gaps.
• Build AI training modules for the new claims officers
  
  

80860 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

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.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.