Medical Claims Officer

Job Description

Summary:<p><br></p>The Medical Claims – Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.<p><br></p>Main Responsibilites:<p><br><br></p><ul><li> Manages routine daily claims administration work.</li><li> Coordinates work flow &amp; meet deadlines.</li><li> Evaluates claims with regards to eligibility.</li><li> Takes decisions on high cost and complicated cases based on standard operating procedures.</li><li> Handles International Preauthorization cases as required.</li><li> Attends calls and e-mails from insurance companies, clients, and providers.</li><li> Coordinates with international providers for direct billing.</li><li> Makes suggestions to improve service.</li><li> Increases efficiency, minimizes errors and administration time.<br></li></ul><p><br></p>21197 | Customer Services &amp; Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent<p><br></p>Minimum Requirements:<p><br><br></p><ul><li> Bachelor’s of Medicine (MBBS).</li><li> Medical Practical Experience (reputable insurance provider, broker or a TPA experience minimum of 3 years).</li><li> Physically fit to carry out duties.</li><li> Legally permitted to work in the country of operations.</li><li> Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills<br></li></ul>