Senior Claims Processing Associate
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Key skills for this role
About the Role
Allianz Partners seeks a Senior Claims Processing Associate to review and handle complex claims, evaluate settlements, and mentor junior colleagues. The role requires a Bachelor's degree in a medical or business field and 2-3 years of customer-focused experience in insurance or clinical settings.
Key Skills for This Role
Responsibilities
- Review and handle claims according to established standard procedures
- Evaluate difficult or high cost claims and determine settlements
- Manage escalated customer concerns
- Offer mentorship and training to junior colleagues
- Ensure timely and accurate processing of approved claims for payment
- Coordinate with other departments or third party administrators
- Assist Team Leader in achieving team KPIs and serve as substitute when required
Requirements
- Bachelor’s degree in Medical field, Paramedical, Finance, Business Administration, Insurance, or related field preferred
- 2 3 years’ experience in customer focused environment, ideally in clinical, paramedical, TPA or insurance roles
- Proficiency in MS Office
- Highly customer focused 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 meet tight deadlines
- Legally permitted to work in the country of operations
Full Job Posting
What You Do
- Review and handle claims according to established standard procedures
- Responsible for complex tasks such as evaluating difficult or high cost claims, determining settlements, managing escalated customer concerns, and offering mentorship and training to junior colleagues
- Takes decisions on high cost and complicated cases based on standard operating procedures
- Ensure timely and accurate processing of approved claims for payment, including coordinating with other departments or third party administrators
- Take on extra responsibilities to assist Team Leader in achieving team KPIs and serve as substitute when required
- 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 a related field preferred
- 2 3 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
Workplace
- Hybrid working option available as per business requirements
About Allianz Partners
- 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
- Allianz Group is one of the most trusted insurance and asset management companies in the world
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