Claims Processing Agent
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Key skills for this role
About the Role
Nextcare is hiring a Claims Processing Agent to review and handle claims, support service level agreements, and deliver exceptional customer service. The role requires a bachelor's degree in a related field and 1-2 years of customer-focused experience, with hybrid working available.
Key Skills for This Role
Responsibilities
- Review and handle claims according to established procedures
- Support team productivity goals to meet Service Level Agreements
- Provide accurate and professional responses to client inquiries
- Engage in departmental medical training to enhance claims processing skills
- Ensure high quality targets are achieved
- Support Team Leader to drive engagement
Requirements
- Bachelor's degree in Medical, Paramedical, Finance, Business Administration, Insurance, or related field preferred
- 1 2 years experience in customer focused environment, ideally clinical, paramedical, TPA, or insurance roles
- Proficiency in MS Office
- Strong interpersonal, communication, and accuracy 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 company service standards to guarantee customer satisfaction and retention.
- Review and handle claims according to established standard procedure.
- Support team and departmental productivity goals to meet SLA and deliver exceptional customer service.
- Provide accurate and professional responses to client inquiries; collaborate 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.
- Work effectively in an environment shaped by AI, machine learning, data, analytics and cloud based tools.
What You Bring
- Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or 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.
- Highly customer focused individual 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 to meet tight deadlines and service standards.
- Legally permitted to work in the country of operations.
- Hybrid working option available as per business requirements.
What We Offer
- Allianz Partners is a world leader in B2B2C insurance and assistance.
- Opportunity to work with AI and emerging technologies.
- Inclusive workplace with equal opportunities.
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