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
Qualifications:
Bachelor's Degree in a related field
Experience in Insurance products and Travel Insurance would be an advantage
Experience of 1-2 Years in the Insurance Business would be an advantage
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
Skills
Claims Management
Insurance
Problem-solving
Functions
Other
Other
Job Overview
Job Type:
Hybrid
Company
Allianz Partners
25 active jobs
Industry:
Other
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