Claims Reconciliation Agent

Overview

• What you do
• Review and analyze claims to ensure they are accurate and complete.
• Process claims adjustments and corrections as necessary.
• Reconcile claims data with financial records and systems.
• Identify and investigate discrepancies in claims transactions and ensure timely and accurate reconciliation of claims.
• Analyze claims data to identify trends and patterns.
• Prepare reports and presentations on claims performance and reconciliation outcomes.
• Utilize data analytics tools to improve the efficiency of the claims reconciliation process.
• Assist in internal and external audits related to claims and reconciliation.
• Maintain accurate and organized documentation for audit purposes.
• Work closely with the finance, processors, and customer service departments to resolve claims issues.
• Communicate effectively with stakeholders to address and resolve claims discrepancies.
• Handle and support direct communication with the healthcare providers on their rejection ratio and reconciliation review findings.
• Conduct Reconciliation meetings with the stakeholders as required by the reconciliation process.
• Other Ad hoc duties as required
• AI READINESSWork 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.
• What you bring
• Bachelor’s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
• Minimum of 2-3 years of experience in claims reconciliation, financial analysis, or a similar role.
• Experience in the insurance or healthcare industry is preferred.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft Excel and other data analysis tools.
• Excellent attention to detail and accuracy.
• Strong organizational and time management skills.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Familiarity with claims processing systems and software.
• Understanding of regulatory requirements related to claims and reconciliation.
• Knowledge of accounting principles and practices.
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.
• 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
• 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.
• 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.
• 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.
• Join us.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.