Reconciliation Officer

Job description

Key responsibilities/What you do:

• Review and verify claims to ensure their accuracy and completeness.
• Process necessary adjustments and corrections to claims efficiently.
• Reconcile claims data with financial records and systems to maintain consistency.
• Detect and investigate discrepancies in claims transactions, ensuring prompt and precise reconciliation.
• Analyze claims data to uncover trends and patterns for informed decision-making.
• Prepare detailed reports and presentations on claims performance and reconciliation results.
• Leverage data analytics tools to enhance the efficiency of the claims reconciliation process.
• Support internal and external audits related to claims and reconciliation activities.
• Maintain well-organized and accurate documentation for audit compliance.
• Collaborate closely with finance, processing, and customer service teams to resolve claims issues.
• Communicate clearly with stakeholders to address and resolve claims discrepancies.
• Manage direct communication with healthcare providers regarding their rejection rates and reconciliation review findings.
• Lead reconciliation meetings with stakeholders as required by the reconciliation process.
• Perform other ad hoc duties as needed.

AI READINESS Work effectively in an environment shaped by artificialintelligence (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’s degree in any Medical field.
• Minimum of 2-3 years of experience in claims reconciliation, financial analysis, or a similar role.
• Experience in the insurance or healthcare industry is preferred.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft Excel and other data analysis tools.
• Excellent attention to detail and accuracy.
• Strong organizational and time management skills.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Familiarity with claims processing systems and software.
• Understanding of regulatory requirements related to claims and reconciliation.
• Knowledge of accounting principles and practices.
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.

How we hire:

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.