Claims Associate
1 week ago
Job Summary
The Claim Examiner will be responsible for performing the daily claim process per service level agreement and ensuring the standard of service quality and productivity targets as Claim KPIs Team for all assigned tasks in travel claims and the day-to-day activity of claim team productivity.
- Process all Medical claims, extended warranty claims, having regard to the validity of the policy/claim, policy limits, the circumstances surrounding the claim, cost containment opportunities, and Company service standard requirements/timeframes for the processing and finalization of all claims
- Medical review and follow-up medical information, claim assessment
- Provide Claims Management reports as evidence of the service standards being achieved
- Liaise with others to coordinate tasks and processes in the management of emergency medical claims
- Liaise with external providers as appropriate to ensure claims are managed in a cost and time-effective manner in line with Company service standards and expectations
- Liaise with internal Travel Insurance Manager for the approval or decline of claims
- Prepare letters and other documentation as necessary subject to Company service standards
- Provide optimum levels of customer service by answering any questions professionally, listening, and developing a rapport with the customer, and taking all necessary actions to meet customer expectations and solve customer problems in a timely and efficient way
- Provide quality follow-through and excellence in service in all dealings with customers and client companies
- Provide an honest and fair assessment of the status of workload to management
- Ensure the status of claims handled reflects the true status of the claims
- Ensure that estimates are maintained as a true reflection of the potential or actual claim exposure
- Prepare and submit reports to the Medical Claims Manager as required
Key Working Relationships
This position requires a person who has good leadership management. The successful candidate must be presentable and capable of establishing a good rapport with people of varied juniority and seniority in the companies that will be approached and needs to establish a good working relationship with our fronting insurance companies. To be successful, the person will need to be dedicated, trustworthy, and persistent in their efforts to promote the company's services.
Qualification
- Bachelor's Degree in a related field
- Computer Literate and able to work efficiently with Word and Excel as a minimum
- Possess good conceptual, analytical, and problem-solving skills
- Self-motivated and able to work with minimal supervision
- Good team player
- Good in English communications, writing, reading, and speaking
Good To Have
- Experience in Insurance products and Travel Insurance would be an advantage
- Experience of 1-2 Years in the Insurance Business would be an advantage
Key Benefits/What We Offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.
89559 | Customer Services & Claims | Professional | [[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 to shape a better future for our customers and the world around us.
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.
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