Senior Claims Officer

Job description

Key Responsibilities/ What you do:

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

• Review and handle claims according to the established standard procedure.
• Responsible for more complex tasks, such as evaluating difficult or high-cost claims, determining settlements, managing escalated customer concerns, and offering mentorship and training to junior colleagues.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Ensure timely and accurate processing of approved claims for payment, including coordinating with other departments or third-party administrators.
• Identify trends and areas for improvement in the claims process.
• Work closely with internal teams such as underwriting, medical, and finance to facilitate seamless claims operations.
• Maintain strong relationships with all stakeholders to ensure effective collaboration and communication.
• Take on extra responsibilities to efficiently assist the Team Leader in achieving team KPIs and serve as a substitute for the Team Leader when required
• Other Ad hoc duties as required.

At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.

Key Requirements/ What you bring:

• Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
• 2-3 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Proficiency in MS Office
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Team player
• Physically fit to carry out duties.
• Ability to demonstrate sounds work ethics.
• Ability to work under pressure and to meet tight deadlines and service standards
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.
  
  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