Medical Claims Senior Claims Officer

• Manages routine daily claims administration work.

• Coordinates work flow & meet deadlines.

• Evaluates claims with regards to eligibility.

• Takes decisions on high cost and complicated cases based on standard operating procedures.

• Handles International Preauthorization cases as required.

• Attends calls and e-mails from insurance companies, clients, and providers.

• Coordinates with international providers for direct billing.

• Makes suggestions to improve service.

• Increases efficiency, minimizes errors and administration time.

• Organizational & time management skills.

• Excellent team player.

• Ability to work well with all levels of internal management and staff, as well as outside clients and users.

• Ability to demonstrate sound work ethics.

• Show flexibility with excellent interpersonal skills.

• The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.

• To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.

• The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.

• Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.

• Strive for excellence at every touch point with the customer

• Foster state-of-art technical/operational knowledge and strive for continuous simplification

• Be the benchmark

• Empower the team and provide purpose and direction

• Develop people, provide feedback and care to employee wellbeing

• Collaborate and exchange best practice.

• Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure

• Take ownership and responsibility

• Embrace innovation and a culture that allows to make decisions without fear of retribution.

• Act with integrity, honor commitments, tell the truth

• Foster diversity and inclusiveness

• Act transparently and promote corporate social responsibility.

• Bachelor's of Medicine (MBBS)

• Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).

• Physically fit to carry out duties.

• Legally permitted to work in the country of operations.

• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

Allianz