Claims Queries Agent
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Key skills for this role
About the Role
Allianz Partners seeks a Claims Queries Agent to handle healthcare provider inquiries via phone and email. The role requires accurate query resolution, detailed record-keeping, and collaboration with internal teams.
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
- Adhere to internal procedures, guidelines, client service agreements and compliance regulatory standards
Requirements
- Bachelor's degree in Medical field, Paramedical, Finance, Business Administration, Insurance, or related field preferred
- 2 years experience in a customer focused environment, ideally in clinical, paramedical, 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
- 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.
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.
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.
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