Claims Management Tracking Officer

Job description

Claims Management – Tracking Officer is responsible for tracking of all Direct Claims received from the provider according to Nextcare standards. This role has the overall responsibility to ensure NEXtCARE operational standards are achieved with outmost productivity and efficiency.

 

Key responsibilities/What you do:

·  Consistently checks and tracks claims received from providers which includes the following responsibilities:
·  Checks claim submission for proper completion.
·  Ensures that standard format for submission is followed such as general statement of account and detailed statement of account.
·  Adheres to initial check of received physical claims count VS the listed in the statement
·  Ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed.
·  Batching the received claims as per our standards and hand over physical claims to Retrospective team.
·  Ensures proper documentation, feedback, and endorsement on the following:
·  In case of missing information on the claim and standard format of submission are not followed, tries to communicate directly with the provider and if not reached report the case to provider OPS asking for support.
·  Claims with incomplete administrative information to be returned to the provider.
·  Providers not created on TATSH to be directed to MPM team for creation.

 

Key requirements/What you bring:

·  Bachelor’s Degree.
·  From 0 to 2 years management experience within Healthcare Industry (TPA, Insurance Companies, Hospitals, Medical Centers or Pharmacies).
·  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.

 

Key benefits/What we offer:

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.

 

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams, and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and shape a better future for our customers.
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.  Join us. Let's care for tomorrow. Note: Diversity of minds is an integral part of Allianz' company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group