Claims Officer

JOB DETAILS / ROLE PURPOSE The role of Claims Officer involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures.

KEY RESPONSIBILITIES Key responsibilities will include, but are not limited to, the following:
• Adjudicate and process Claims within the agreed company SLA – clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
• Use AWC’s client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
• Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
• Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
• In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
• Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
• Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
• Other Ad hoc duties as required

KEY REQUIREMENTS
• 1-2 years’ experience in a customer focused environment, ideally in clinical, paramedical or medical insurance roles.
• Proficiency in MS Office
• Completion or progression towards the Diploma in Private Medical Insurance.
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Ability to work under pressure and to meet tight deadlines and service standards

41211 | Operations | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent 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. 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. Note: Diversity of minds is an integral part of Allianz’ company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group.