Claims Management Manager
Job Overview: The Claims Operations Manager will manage Healthcare providers claims and ensure our Claims Operations team to meet required department KPI’s including timelines, cost, customer service and scope accuracy.
Skills
About This Role
Job Overview
- The Claims Operations Manager will manage Healthcare providers claims and ensure our Claims Operations team to meet required department KPI’s including timelines, cost, customer service and scope accuracy.
- The key focus of the team is Performance, Relationship between the clients and Allianz Partners.
- Key responsibilities/What you do:
- Leading a team of claims adjusters to active the required departmental KPIs in line with orgnisation goals .
- Act as a liaison between the Global Management and the claims team, ensuring clear communication and alignment of objectives.
- Development and implementation of departmental strategies and goals.
- Provide regular updates and reports to the Regional Management on team performance, claims processing, and customer satisfaction.
- Participate in strategic planning with clear decision-making processes.
- Provide guidance, training, and mentorship to team members to enhance their skills and performance.
- Monitor team workload and ensure equitable distribution of tasks.
- Review complex or escalated claims and provide guidance on claim determinations.
- Resolve escalated customer inquiries and complaints regarding claims issues.
- Analyse claims data and performance metrics to identify trends and opportunities for process improvement.
- Prepare and present reports on claims activities, outcomes, and key performance indicators (KPIs) to senior management.
- Utilize data analysis to drive strategic decision-making and optimize claims processes.
- Actively participate in various operational activities, outside of claims, to ensure that operational service delivery is coordinated to meet and exceed clients’ expectations.
- Assist in Developing and updating claims policies and procedures.
- Ensure team adherence to all regulatory and company guidelines.
- Prepare and present regular reports on claims activity, performance metrics, and trends.
- Analyse data to identify areas for improvement and implement corrective actions.
- Other Ad hoc duties as require
- AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
- At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation.
- By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences.
- Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust.
- Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities.
- With robust Information Security Management, we protect sensitive information, ensuring compliance and security.
- Embrace the future of AI with Allianz Partners, where possibilities become realities.
Key requirements
- /What you bring
- Bachelor’s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
- Minimum of 8 years of experience in claims management or a related field, with at least 4 years in a leading role.
- Proven track record of effectively managing teams and achieving operational goals.
- Strong leadership and team management skills.
- Excellent communication, negotiation, and interpersonal skills.
- Analytical mind-set with the ability to interpret complex data and make data-driven decisions.
- Proficiency in claims management software and Microsoft Office Suite.
- Detail-oriented with strong organizational and time management skills.
- Ability to work in a fast-paced environment and manage multiple priorities effectively.
- Flexibility to adapt to changing business needs and work under pressure.
- Legally permitted to work in the country of operations.
- How we hire
- Agency Statement 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
- Key benefits/What we offer
- Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance.
- Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
- Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
- 99661 \| Operations \| Professional \| Non-Executive \| Allianz Partners \| Full-Time \| Permanent
- 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.
- We are united by a shared commitment: to put our customers first and at the center of everything we do.
- Their needs inspire our thinking and guide our actions.
- Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for 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 where integrity, fairness, inclusion and trust are at the heart of our culture.
- We therefore welcome applications regardless of race, 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.
- **Note:** Having different strengths, experiences, perspectives and approaches is an integral part of Allianz‘ company culture.
- One means to achieve this is a regular rotation of Allianz employees across functions, Allianz entities and geographies.
- Therefore, Allianz expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
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