Allianz Partners is Looking for a Claims Officer in Qatar
Claims Officer
The role of Claims Handler involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures.
Key Responsibilities
Key responsibilities will include, but are not limited to, the following:
Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
Use AWC’s client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
Other Ad hoc duties as required
Key Requirements
1 - 2 years’ experience in a customer focused environment, ideally in an administrative role
Proficiency in MS Office
Completion or progression towards the Diploma in Private Medical Insurance.
A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
Fluency in English
Ability to work under pressure and to meet tight deadlines and service standards