Claims Queries Agent
Job Fit Check
Base Career helps you apply smarter for this job.
Key skills for this role
About the Role
TALENTMATE is seeking a Claims Queries Agent to handle incoming queries from healthcare providers via phone, email, and other channels. The role involves providing accurate information, maintaining records, and collaborating 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
- 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
- Provide direction, next steps and clear expectations to the client where a query involves further investigation
Requirements
- 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
Full Job Posting
Job Description
- Handle incoming queries from healthcare providers via phone, email, and other communication channels.
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 TALENTMATE
Production Testing Engineer II
Abu Dhabi, UAE
TALENTMATE is seeking a Senior Production Test Engineer for Powertech in Abu Dhabi to lead test strategy development and automation for production lines. The role requires 8+ years of experience in production or R&D test
Vice President Credit Management And Control- Corporate Origination And Business Development
Dubai, UAE
TALENTMATE is hiring a Vice President of Credit Management and Control for Corporate Origination and Business Development at Mashreq Bank in Dubai. The role leads a team of Credit Relationship Managers, oversees credit g
Global Account Manager
Dubai, UAE
Job Description At Kpler, we are dedicated to helping our clients navigate complex markets with ease. By simplifying global trade information and providing valuable insights, we empower organisations to make informed dec
Senior Customer Success Manager
Dubai, UAE
Job Description About Delinea Delinea is a pioneer in securing human and machine identities through intelligent, centralized authorization, empowering organizations to seamlessly govern their interactions across the mode
Head of Compliance
Dubai, UAE
Job Description We're building the compliance and AML function from the ground up for a growing payments company in the UAE. This is a hands-on, build-and-own role for someone who has taken a regulated financial services
Branch Manager UAE
Dubai, UAE
TALENTMATE is seeking a Branch Manager for their Middle East subsidiary to oversee Customer Care, Distribution, Quality, Warehouse, and Supply Chain departments. The role involves managing teams, ensuring efficient opera
Specialist Procurement Engineer
Abu Dhabi, UAE
Worley seeks a Specialist Procurement Engineer to manage procurement and subcontracting activities for large EPC projects in the oil and gas industry. The role involves developing procurement plans, monitoring contractor
PMC Manager - Construction And Installation
Abu Dhabi, UAE
Wood is recruiting a PMC Manager - Construction & Installation for an ADNOC Offshore client in Abu Dhabi. The role involves leading construction planning and execution for islands U/G civil works, onshore fabrication, an
Production Testing Engineer II
Abu Dhabi, UAE
Vice President Credit Management And Control- Corporate Origination And Business Development
Dubai, UAE
Global Account Manager
Dubai, UAE
Senior Customer Success Manager
Dubai, UAE
Head of Compliance
Dubai, UAE
Branch Manager UAE
Dubai, UAE
Specialist Procurement Engineer
Abu Dhabi, UAE
PMC Manager - Construction And Installation
Abu Dhabi, UAE