Claims Processing Agent
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Key skills for this role
About the Role
Nextcare is seeking a Claims Processing Agent to review and handle insurance claims, support service level agreements, and provide accurate responses to client inquiries.
Key Skills for This Role
Responsibilities
- Review and handle claims according to established standard procedures
- Operate within company service standards to guarantee customer satisfaction and retention
- Support team and departmental productivity goals to meet Service Level Agreements
- Provide accurate and professional responses to client inquiries
- Engage in departmental medical training to broaden understanding of medical terminology
- Ensure high quality targets are achieved at all times
Requirements
- Bachelor's degree in Medical, Paramedical, Finance, Business Administration, Insurance, or related field
- 1 2 years experience in a customer focused environment, ideally in clinical, paramedical, TPA, or insurance roles
- Proficiency in MS Office
- Strong interpersonal and communication skills
- Ability to work under pressure and meet tight deadlines
- Legally permitted to work in the country of operations
Full Job Posting
What You Do
- Operate within and meet company service standards to guarantee customer satisfaction and retention on Member's Claim submission.
- Review and handle claims according to established standard procedure.
- Support team and departmental productivity goals to meet agreed Service Level Agreement (SLA) and deliver exceptional customer service.
- Provide accurate and professional responses to client inquiries, collaborating with other departments if needed.
- Engage in departmental medical training to broaden understanding of medical terminology and procedures.
- Ensure adaptability in various claims handling 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.
- Perform other ad hoc duties as required.
What You Bring
- Bachelor's degree in Medical, Paramedical, Finance, Business Administration, Insurance, or related field preferred.
- 1 2 years experience in a customer focused environment, ideally in clinical, paramedical, TPA, or insurance roles.
- Proficiency in MS Office.
- Highly customer focused with strong interpersonal, communicative, and accuracy skills.
- Team player.
- Physically fit to carry out duties.
- Ability to demonstrate sound work ethics.
- Ability to work under pressure and meet tight deadlines and service standards.
- Legally permitted to work in the country of operations.
- Hybrid working option available as per business requirements.
About Allianz Partners
- Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions across international health and life, travel insurance, automotive and assistance.
- Present in 75 countries, with 21,100 employees speaking 70 languages, handling over 71 million cases each year.
- Committed to diversity and inclusion, an equal opportunity employer.
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