Medical Claims Team Leader

Job description

Key responsibilities/What you do:

• Coordinates work flow & meet deadlines.
• Evaluate high cost and complicated cases.
• Monitors claims handling quality.
• Commitment to the process instructions to apply the new induced Cost Containement process and follow up on it.
• Following up new joiners training and refreshment sessions.
• Following up scheduling.
• Following up complete and accurate data entry on system.
• AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.

Key requirements/What you bring:

• Bachelor Degree in MBBS
• Minimum 5 years in the Health Care Industry, including TPA’s, insurance companies, hospitals, or medical centers. 
• Verbal and written communication skills.
• Show flexibility, excellent interpersonal skills.
• Project coordination experience.
• Ability to work well with all levels of internal management and staff, as well as outside clients and users
• Ability to train other staff.
• Strong negotiations and presentation skills.

How we hire 
Agency Statement Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered