Claims Officer at Allianz Global Corporate & Specialty SE

Tunis, Tunis, Tunisia -

Full Time

Start Date

Immediate

Expiry Date

17 Jan, 26

Salary

0.0

Posted On

19 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Management, Customer Service, Analytical Skills, Problem-Solving, Communication Skills, Interpersonal Skills, Attention to Detail, MS Office Proficiency, Insurance Knowledge, Regulatory Compliance, Fraud Detection, Quality Control, Team Collaboration, Medical Evaluations, Data Analysis, Record Keeping

Industry

Financial Services

Description

Responsible to review high-cost Reimbursement Claims, direct claims /Reimbursement Claims coverage ,manage medical evaluations, errors and claims turn-around-time and processors queries to achieve quality decisions and evaluations. what you do • Review and handle claims according to the established standard procedure. • Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service • Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution. • Maintain accurate and up-to-date records of all claims activities. • Ensure compliance with all relevant regulations, company policies, and industry standards. • Identify potential fraud or discrepancies in claims and take appropriate actions. • Collaborate with the risk management team to mitigate risks associated with claims processing. • Implement and maintain robust quality control measures. • Other Ad hoc duties as required What you bring • Bachelor’s degree in any Medical Field, Insurance, or a related field is required. • 1-2 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA/Insurance roles • Proficiency in MS Office • Knowledge of insurance policies, claims procedures, and relevant regulations. • Strong analytical and problem-solving skills. • Excellent communication and interpersonal skills. • Proficiency in claims management software and data analysis tools. • High level of accuracy and attention to detail. • Ability to work independently and as part of a team. • Legally permitted to work in the country of operations. • Hybrid working option available as per business requirements. What we offer Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and 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 a 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. 81349 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Responsibilities

The Claims Officer is responsible for reviewing high-cost reimbursement claims and managing medical evaluations to ensure quality decisions. They will also handle claims according to established procedures and support team productivity goals.