Medical Claims Process -Assistant Manager

Job description

The Assistant Manager is responsible for managing the functions of Medical Services ( Inpatient, Outpatient & Retrospective Review) while ensuring that departmental goals, timeline of activities, and compliance measures are met. 

 

What you do:

·  Manage and organize the team ensuring optimum deployment of resources & reporting to the Headquarters
·  Devise and implement claims cost control strategies, liaising where necessary with other relevant parts of the business,
·  Ensure that all existing operating service standards are consistently met and to devise strategies to improve these still further.
·  Devise and obtain approval for manpower and resource plans which ensure continued delivery of agreed service standards as business increases;
·  Develop and continually refine objective mechanisms to measure the productivity of individual members of the Department and to devise and implement strategies to increase this productivity.
·  Enhance existing claims protocols and review and refine these in the light of experience;
·  Continually review the Claims system functionality taking the lead role in identifying required improvements and to liaise as necessary with other relevant parts of the business to achieve these;
·  Develop and implement strategies to continually enhance a strong customer focused culture within the Department, liaising with other relevant parts of the business as necessary;
·  Ensure continuous learning and development by all department members and to  identify training requirements and, in co-operation with other relevant parts of the business, to devise and implement strategies to address these needs;
·  Develop and maintain good working relationships with all departments and support them according to their needs;
·  Develop and maintain good working relationships with Assistance providers and other external suppliers;
·  Develop and implement claims analysis protocols, liaising with other relevant parts of the business as necessary;
·  Support actuarial and product development activities;
·  Develop and maintain relationship with major clients, intermediaries and with the Company’s own sales and marketing personnel;
·  Member of the claims Cost containment
·  Responsibility for Health, Safety and Welfare within team (please refer to the Company’s Safety Statement for full list of responsibilities)                                              

 

What you bring:

·  Bachelor’s of Medicine (MBBS) / Nursing/Pharmacy
·  5+ years medical practical experience (reputable insurance provider, broker or a TPA experience a plus).
·  At least 3-4 years Leadership skills.
·  Knowledge of overall insurance industry practices is a plus.
·  Legally permitted to work in the country of operations.
·  Physically fit to carry out duties.
·  Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

 

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.

58098 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Allianz Partners Introduction:

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 to shape a better future for our customers and the world around us. 
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.