Claims Processing Agent
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Key skills for this role
About the Role
Allianz Partners is hiring a Claims Processing Agent to review and handle claims, support team productivity goals, and provide accurate responses to client inquiries. The role requires a Bachelor's degree in a medical or related field and 1-2 years of customer-focused experience.
Key Skills for This Role
Responsibilities
- Operate within and meet the conditions of company service standards to guarantee customer satisfaction and retention
- Review and handle claims according to the established standard procedure
- Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
- Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution
- Engage in departmental medical training to broaden understanding of medical terminology and procedures
- Ensure adaptability in various claims handling work related tasks to facilitate a multi tasking role
- Ensure high quality targets are achieved at all times
- Support the Team Leader to drive engagement within the Team
Requirements
- Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred
- 1 2 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles
- Proficiency in MS Office
- Legally permitted to work in the country of operations
Full Job Posting
What you do
- Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention.
- Review and handle claims according to the established standard procedure.
- Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service.
- Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
- Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
- Ensures adaptability in various claims handling work related tasks to be able to facilitate a multi tasking role.
- Ensures that high quality targets (standard of work performance) are achieved at all times.
- Support the Team Leader to drive engagement within the Team.
- Other Ad hoc duties as required.
- Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud based tools, using insights responsibly with our standards of data governance, security and ethical use.
What you bring
- Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
- 1 2 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
- Proficiency in MS Office.
- A highly customer focused individual with strong interpersonal, communicative and accuracy skills.
- Team player.
- Physically fit to carry out duties.
- Ability to demonstrate sounds work ethics.
- Ability to work under pressure and to meet tight deadlines and service standards.
- Legally permitted to work in the country of operations.
- Hybrid working option available as per business requirements.
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