Medical Claims assessor Full-time Job

MAIN TASKS

Manages routine daily claims administration work.

Coordinates work flow & meet deadlines.

Evaluates claims with regards to eligibility.

Takes decisions on high cost and complicated cases based on standard operating procedures.

Handles International Preauthorization cases as required.

Attends calls and e-mails from insurance companies, clients, and providers.

Coordinates with international providers for direct billing.

Makes suggestions to improve service.

Increases efficiency, minimizes errors and administration time.

Behavioral Requirements

Organizational & time management skills.

Excellent team player.

Ability to work well with all levels of internal management and staff, as well as outside clients and users.

Ability to demonstrate sound work ethics.

Show flexibility with excellent interpersonal skills.

The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.

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.

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.

Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
For more information, please visit: www.allianz-partners.com