Claims Processing Agent

Job Description / What you do

• Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention on Member's Claim submission.
• 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.
• Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
• Ensures adaptability in various claims handling work-related tasks to be able to facilitate a multi-tasking role.
• Ensures that high quality targets (standard of work performance) are achieved at all times.
• Support the Team Leader to drive engagement within the Team
• Other Ad hoc duties as required
• Job Requirements / What you bring:
• Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
• 1-2 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Proficiency in MS Office
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Team player
• Physically fit to carry out duties.
• Ability to demonstrate sounds work ethics.
• Ability to work under pressure and to meet tight deadlines and service standards
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.
• At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions.
• These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times.
• Our AI-powered technology has made claims processing faster, offering quicker resolutions.
• All while ensuring human oversight for claims to maintain service integrity.
• By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions.
• Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations.
• This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
• 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.
• Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
• We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer.
• We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
• We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.Great to have you on board.
• Let's care for tomorrow.
• **Note:** Diversity of minds is an integral part of Allianz’ company culture.
• One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies.
• Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Partners.