Claims Quality & Support Associate

Key responsibilities/What you do:

• Review of complex and high cost claims to determine financial and risk accuracy and in-depth review of written dispute requests received from providers of denied or incorrect payments based on contractual arrangements with providers and non-contractual providers.
• Offer assistance to junior staff on challenging cases.
• Identify trends and areas for improvement in the claims process.
• Retrospective auditing of paid claims. This includes flagging of overpaid claims for recovery.
• Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans;
• Mentor and coach new and existing staff on best practices and company policies.
• Ensure claims handling complies with company policies, industry regulations, and legal requirements.
• Other Ad hoc duties as required.

AI READINESS Work effectively in an environment shaped by artificialintelligence (AI), machine learning, data analytics and cloud-based tools,using insights responsibly with our standards of data governance, security and ethical use.

Key requirements/What you bring:

• Bachelor’s degree in any Medical field (Paramedical ,Medicine)
• Minimum 5 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Demonstrated understanding of medical claims processes and procedures, and ability to recognize and interpret variances
• Proficiency in MS Office and general internet navigation and research skills
• Must be detail oriented and have the ability to work independently
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.

How we hire
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.

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. And 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 or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

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