QAS Officer - Claims Department

Job description

KEY RESPONSIBILITIES

Key responsibilities will include, but are not limited to, the following:

• Release claims for Claims Officers with a lower release limit within Clear to Zero service levels
• Consistently achieve agreed productivity and quality targets to support departmental goals
• Support, mentor & provide constructive educational feedback to Claims Officers on areas for improvement and clarification of claims protocols

• Identify training gaps and make recommendations to the Training team
• Support the Training team as operationally required
• Mentor Claims Officers to achieve acceptable adjudication, cost containment & fraud identification standards

• Identify cost containment regional opportunities and report opportunities to the QAS Team Leader and Claims Management team
• Develop and maintain relationships with internal stakeholders to promote effective communication
• Support Team Leader with development and training of new staff which will assist in the achievement of the team’s target.

• Deputising for Team Leader when out of the office, as required
• Support department and colleagues to ensure overall business targets are achieved
• Other Ad hoc duties as operationally required

KEY REQUIREMENTS

• A highly customer-focused individual with strong interpersonal and communication skills
• Team player who acts as a positive role model and contributes to a great team atmosphere
• Ability to prioritise workload and manage time effectively

• Highly motivated and proactive individual who can work on own initiative and within a team setting
• Experience in claims processing
• Strong analytical skills
• Proficiency in MS Office
• APA in Private Medical Insurance
• Fluency in English required (verbal and written)
• Fluency in Spanish, French or Italian is desirable (verbal and written)

• Proficiency with AI tools and LLMs

As an equal opportunity employer, Allianz Partners recognizes that our strength lies in our people and we are committed to diversity and inclusivity. So if you would like to be part of a global company that offers international career opportunities, kick-start your career and dare to join us!
For more information, please visit: www.allianz-partners.com