Replacement of Travel and assistance Officer
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Key skills for this role
About the Role
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 travel assistance experience, and fluency in English.
Key Skills for This Role
Responsibilities
- Manage assigned tasks related to medical assistance cases
- Evaluate medical claims according to guidelines
- Coordinate with different providers to ensure high quality of service when organizing medical assistance
- Respond inbound and outbound telephone / e mail Customer / Partners inquiries and ensure call quality monitoring
- Claims evaluation and processing activities such as checking policy, eligibility, claims creation in the system
- Assist callers on claims process / procedure / network inquiries, explaining policy terms & conditions
- Accommodate Business Units / Travel / TPA International requests with regards to opening international files, placement of Guarantee of Payment
- Follow the complaints & escalation management process and log in complaints with action & resolution
- Ensure proper system related tasks as creating files and Service Providers updates on the portal
- Record tasks in the productivity file, share with management and ensure reaching the level of productivity assigned
- Follow internal processes and guidelines to ensure reaching Operational KPIs and attendance KPIs
- Attend training sessions as requested and participate in departmental activities
Requirements
- Bachelor's Degree in medical field
- 1+ years Insurance / Travel and medical assistance Operations Experience
- Fluency in English is mandatory
- Fluency in Arabic (1st), French (2nd) is a plus
- Fluency in typing
- Legally permitted to work in the country of operations
- Physically fit to carry out duties
Full Job Posting
Key Responsibilities
- Manage the assigned tasks related to medical assistance cases.
- Evaluate medical claims according to the guidelines.
- Coordinate with different providers to ensure high quality of service when organizing medical assistance.
- Respond inbound and outbound telephone / e mail Customer / Partners inquiries and ensure call quality monitoring
- Claims evaluation and processing activities such as checking policy, eligibility, claims creation in the system, follow up upon ongoing claims ensuring the requested turn around time and processing of claims and other tasks related to claims management
- Assist callers on claims process / procedure / network inquiries, explaining policy terms & conditions
- Accommodates Business Units / Travel / TPA International requests with regards to opening international files, placement of Guarantee of Payment, etc.
- Follow the complaints & escalation management process and log in complaints with action & resolution in the system / tools provided by the company
- Ensure proper system related tasks as creating files and Service Providers updates on the portal
- Record tasks in the productivity file, share with management and ensure reaching the level of productivity assigned
- Follow the internal processes and guidelines to ensure reaching the Operational KPIs (Quantity and Quality) and the attendance KPIs
- Request feedback in relation to the performed tasks and discuss with Team Leader the monthly scorecard results
Key Requirements
- Bachelor’s Degree in medical feild
- 1+ years Insurance / Travel and medical assistance Operations Experience
- Fluency in English is mandatory
- Fluency in Arabic (1st), French (2nd) is a plus
- Fluency in typing
- Legally permitted to work in the country of operations.
- Physically fit to carry out duties
Key Benefits
- Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
- We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs.
- All that in a global environment where international mobility and career progression are encouraged.
- Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work life balance.
About Allianz Group
- Allianz Group is one of the most trusted insurance and asset management companies in the world.
- We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer.
- We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
- We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability, or sexual orientation.
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