Claims Queries Agent
Job Fit Check
Base Career helps you apply smarter for this job.
Key skills for this role
About the Role
Nextcare is hiring a Claims Queries Agent to handle incoming queries from healthcare providers via phone, email, and other channels. The role requires a Bachelor's degree in a medical or related field and 2 years of customer-focused experience.
Key Skills for This Role
Responsibilities
- Handle incoming queries from healthcare providers via phone, email, and other communication channels
- Provide accurate and timely information in response to provider inquiries
- Escalate complex queries to appropriate departments or senior staff members as necessary
- Maintain detailed records of all queries and their resolutions
- Identify areas for improvement based on query analysis and feedback
- Communicate clearly and effectively with healthcare providers, ensuring a high level of satisfaction
- Collaborate with internal teams to resolve issues and provide comprehensive responses to providers
- Keep providers informed about updates, policy changes, and other relevant information
- Participate in training and development activities to stay current with industry standards and company policies
- Adherence to internal procedures and guidelines, client service agreements and compliance & regulatory standards
Requirements
- Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred
- 2 years experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles
- Excellent verbal and written communication skills
- Strong problem solving and analytical abilities
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
- Ability to work independently and as part of a team
- Strong organizational skills and attention to detail
- Ability to prioritise workload and manage time effectively
- Experience in claims processing
- Legally permitted to work in the country of operations
Full Job Posting
What You Do
- Handle incoming queries from healthcare providers via phone, email, and other communication channels.
- Provide accurate and timely information in response to provider inquiries.
- Escalate complex queries to appropriate departments or senior staff members as necessary.
- Maintain detailed records of all queries and their resolutions.
- Identify areas for improvement based on query analysis and feedback.
- Communicate clearly and effectively with healthcare providers, ensuring a high level of satisfaction.
- Collaborate with internal teams to resolve issues and provide comprehensive responses to providers.
- Keep providers informed about updates, policy changes, and other relevant information.
- Participate in training and development activities to stay current with industry standards and company policies.
- Adherence to internal procedures and guidelines, client service agreements and compliance & regulatory standards
- Take ownership of each query ensuring all aspects of the query are answered right first time, eliminating rework and increased customer effort
- Provide clear, concise and accurate responses in a professional manner, including internal and external information transfer
What You Bring
- Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
- With 2 years experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
- Excellent verbal and written communication skills.
- Strong problem solving and analytical abilities.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Ability to work independently and as part of a team.
- Strong organizational skills and attention to detail.
- Ability to prioritise workload and manage time effectively
- Experience in claims processing
- Legally permitted to work in the country of operations.
- Hybrid working option available as per business requirements.
How We Hire
- Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered
What We Offer
- 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.
- At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation.
- Allianz Group is one of the most trusted insurance and asset management companies in the world.
- At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all.
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Nextcare
Medical Provider Performance Executive
Dubai, UAE
Nextcare seeks a Medical Provider Performance Executive to conduct investigations of healthcare providers for fraud, waste, and abuse. The role involves data mining, audits, and collaboration with legal and finance teams
Senior Operations Solution Lead -
Dubai, UAE
Nextcare seeks a Senior Operations Solution Lead to manage projects and transitions across Health Operations lines of business. The role involves developing business cases, managing schedules, risks, and stakeholder comm
Medical Provider Performance Executive
Doha, QAT
Nextcare seeks a Medical Provider Performance Executive to investigate healthcare fraud, waste, and abuse in Doha. The role involves data mining, audits, and provider relationship management. Requires clinical knowledge,
Replacement of Travel and assistance Officer
Dubai, UAE
Nextcare is seeking a Travel and Assistance Officer to manage medical assistance cases, evaluate claims, and coordinate with providers. The role requires a Bachelor's degree in a medical field, 1+ years of insurance or t
Project Specialist
Dubai, UAE
As a Project Specialist, you will manage action plans, coordinate initiatives, and support the Global Head of Claims in overseeing daily operations. The role involves driving transformative projects, managing communicati
Emiratization Specialist, UAE
Dubai, UAE
Nextcare is seeking an Emiratization Specialist to oversee the development and operation of its Emiratization program in Dubai. The role involves recruiting, developing, and retaining UAE national talent, working with go
Claims Processing Agent
Dubai, UAE
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
Senior Claims Quality & Support Associate
Dubai, UAE
Nextcare seeks a Senior Claims Quality & Support Associate to review complex claims, mentor junior staff, and conduct retrospective audits. The role requires a bachelor's degree in a related field and 5+ years of experie
Medical Provider Performance Executive
Dubai, UAE
Senior Operations Solution Lead -
Dubai, UAE
Medical Provider Performance Executive
Doha, QAT
Replacement of Travel and assistance Officer
Dubai, UAE
Project Specialist
Dubai, UAE
Emiratization Specialist, UAE
Dubai, UAE
Claims Processing Agent
Dubai, UAE
Senior Claims Quality & Support Associate
Dubai, UAE