Reimbursement Officer

• Assesses approval of medical approvals as well as policy use.
• Checks treatment plan is necessary for the patient.
• Inputs verbal and written claims approvals regularly.
• Decides approvals as per policy conditions.
• Assess high-cost claims and provide decision on high cost and complicated cases.
• Provides clear feedback on queries from call Centre team.
• Provides clients an understanding of any declined medical claims.
• Coordinates workflow & meet deadlines.
• Evaluates claims with regards to eligibility.

• Bachelor of Medicine\Pharmacy\Dentistry.
• 2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
• Legally permitted to work in the country of operations.
• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
• Strong verbal and written communication skills.
• Show flexibility, excellent interpersonal skills.
• Team Player.
• Attention to detail and quality.
• Ability to work well with all levels of internal management and staff, as well as outside clients and users.
• Ability to train other staff.
• The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
• 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.
• The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.

Allianz