Reimbursement Officer

Job description

RESPONSIBILITIES

•    Assesses approval of medical approvals as well as policy use.
•    Checks treatment plan is necessary for the patient.
•    Inputs verbal and written claims approvals regularly.
•    Decides approvals as per policy conditions.
•    Assess high-cost claims and provide decision on high cost and complicated cases.
•    Provides clear feedback on queries from call Centre team.
•    Provides clients an understanding of any declined medical claims.
•    Coordinates workflow & meet deadlines.
•    Evaluates claims with regards to eligibility.

 

REQUIREMENTS 

•    Bachelor of MedicinePharmacyDentistry.
•    2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
•    Legally permitted to work in the country of operations.
•    Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
•    Strong verbal and written communication skills.
•    Show flexibility, excellent interpersonal skills.
•    Team Player.
•    Attention to detail and quality.
•    Ability to work well with all levels of internal management and staff, as well as outside clients and users.
•    Ability to train other staff.
•    The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
•    Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.
•    The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.

43266 | Operations | Entry Level | [[custPositionClusterCSB]] | Allianz Partners | Full-Time | Permanent

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