Detalhes do emprego
JOB DETAILS / ROLEPURPOSEThe role of Claims Officer involves processing medicalclaims for clients worldwide. We ensure a high level of clientservice while processing claims within an industry leading 48hours. The Claims Department is a very fast paced and challengingenvironment, with many different languages used and a mixture ofcultures.Key ResponsibilitiesKey responsibilities will include, butare not limited to, the following: Adjudicate and process Claimswithin the agreed company SLA - clear to zero, in accordance withpolicy benefits to facilitate the company achieving its loss ratiotarget Use AWC's client database accurately andeffectively to ensure reports generated give a true reflection ofthe department's workload, which consequently facilitateseffective target planning Operate within and meet the conditions ofcompany service standards, clear to zero, to guarantee customersatisfaction and retention Contribute to the team and departmentalproductivity targets so that the agreed SLA is achieved and a highlevel of customer service is provided. In line with thecompany's policy on cost containment identify duplicatepayments, possible non-disclosure and fraudulent claims Respond tocustomer enquiries accurately and professionally and if necessary,liaise with other departments for support to ensure an efficientand professional response is given thereby achieving customersatisfaction Participate in departmental medical training to expandknowledge of medical terminology and procedures and to developcomprehensive claims processing skills Other Ad hoc duties asrequiredKey Requirements 1-2 years' experience in acustomer focused environment, ideally in clinical, paramedical ormedical insurance roles. Proficiency in MS Office Completion orprogression towards the Diploma in Private Medical Insurance. Ahighly customer-focused individual with strong interpersonal,communicative and accuracy skills. Ability to work under pressureand to meet tight deadlines and service standards41211 | Operations| Professional | Non-Executive | Allianz Partners | Full-Time |PermanentAllianz Group is one of the most trusted insurance andasset management companies in the world. Caring for our employees,their ambitions, dreams, and challenges, is what makes us a uniqueemployer. Together we can build an environment where everyone feelsempowered and has the confidence to explore, to grow and shape abetter future for our customers.We at Allianz believe in a diverseand inclusive workforce and are proud to be an equal opportunityemployer. We encourage you to bring your whole self to work, nomatter where you are from, what you look like, who you love or whatyou believe in.We therefore welcome applications regardless ofethnicity or cultural background, age, gender, nationality,religion, disability, or sexual orientation.Join us. Let'scare for tomorrow.Note: Diversity of minds is an integral part ofAllianz' company culture. One means to achieve diverseteams is a regular rotation of Allianz Executive employees acrossfunctions, Allianz entities and geographies. Therefore, the companyencourages its employees to be motivated in gaining varied skillsfrom different positions and to collect experiences from acrossAllianz Group.
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