Claims Officer at Allianz Insurance

, , Philippines -

Full Time

Start Date

Immediate

Expiry Date

12 Jun, 26

Salary

0.0

Posted On

14 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Client Service, Policy Terms and Conditions, Tariff Adherence, SLA Adherence, Customer Satisfaction, Customer Retention, Database Accuracy, Productivity Targeting, Cost Containment, Fraud Detection, Customer Enquiries, Microsoft Office, Interpersonal Skills, Communication Skills, Accuracy

Industry

Financial Services

Description

BENEFITS/PERKS Competitive Salary 13th and 14th month guaranteed Performance Incentive Plan / Yearly Bonus Retirement Program and Group Life Insurance Hybrid Work Set-up after 6 months of employment Be part of a pioneer team JOB DETAILS / ROLE PURPOSE The role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Officer will process Medical Providers’ Claims, making sure that services are eligible as per policy terms and conditions, are in correlation with the authorized guarantee of payment given and are paid as per the agreed tariffs with providers. The Claims Department is an extremely fast paced environment, with many different languages used and a mixture of cultures. KEY RESPONSIBILITIES Key responsibilities will include, but are not limited to, the following: Examine and process Claims within the agreed company SLA to guarantee customer satisfaction and retention Use Allianz Partners client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning Contribute to the team and departmental productivity targets so that the agreed SLA is achieved In line with the company’s policy on cost containment identify duplicate payments, overbilling, up coding, 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 KEY REQUIREMENTS 1-2 years experience in a Medical Claims role is required Strong Knowledge of Microsoft Office (Excel, Word) A highly customer-focused individual with strong interpersonal, communicative and accuracy skills. Team player Ability to demonstrate sounds work ethics. Can work with minimal supervision and comfortable working with deadlines Must be willing to work onsite in Makati first 6 months Fluent English 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. Join us. Let's care for tomorrow.

Responsibilities

The Claims Officer is responsible for processing medical claims for assigned clients, ensuring services are eligible per policy terms and paid according to agreed tariffs, all while maintaining an industry-leading 48-hour processing time. Key duties include examining claims within the SLA, accurately using the client database for reporting, contributing to productivity targets, and identifying potential overbilling or fraudulent claims.