Job description / Role Job Type
Full Time Job Location
Dubai, UAE Nationality
Any Nationality Salary
Not Specified Gender
Not Specified Arabic Fluency
Not Specified Job Function
Healthcare Company Industry
Insurance Senior medical claims officer role overview

Senior medical claims officer provides quality service to clients, promptly and effectively assesses and processes claims and approvals according to operations set standards.

The senior medical claims officer is also responsible for team success by agreeing, implementing, and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to.

What you do Assesses approval of medical claims as well as policy use. Guides medical claims officers in handling difficult medical cases and optimizes the quality and quantity of output. Monitors daily output on the number of cases done and decreases the number of errors committed. Checks that particular treatment plans are necessary for the patient. Records verbal and written claims approvals regularly. Provides second opinions for cases where there is doubt in the treatment plan. Decides approvals as per policy conditions. Assesses high cost claims and provides decisions on high cost and complicated cases. Provides clear feedback on queries from the call centre team. Provides clients with an understanding of any declined medical claims. Manages routine daily claims administration work. Coordinates workflow and meets deadlines. Evaluates claims with regards to eligibility. Provides on-the-job training to team members as necessary. What you bring Bachelor's degree in medicine, pharmacy, or dentistry. 2+ years medical practical experience (reputable insurance provider, broker, or a TPA experience is a plus). Physically fit to carry out duties. Legally permitted to work in the country of operations. Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills. About the company

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.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion, and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.

About the Company

With over 159,000 employees from 172 nationalities across more than 70 countries, we are one of the world's most trusted insurance and asset management companies. We offer a broad range of products and services in property/casualty insurance, life/health insurance, and asset management. We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!

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