Claims Management Processing Officer
- Allianz Partners India
- Cairo, Cairo Governorate, Egypt
وصف الوظيفة
Summary
Evaluate more complex data entry, clerical, and accounting tasks involved in the preparation and processing of patient insurance claims. Supervises releasing team with regards to productivity and efficiency.
MAIN TASKS
- Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.
- Ensures that provider’s fees and service items charges coincide with their existing contract price list with Nextcare.
- Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing.
- Compares data on claims applications.
- Screens claim documents and process claim adjustment.
- Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing.
- Ensures adaptability in various work-related tasks to be able to facilitate a multi-tasking role.
- Ensures that high quality standard of work performance is achieved at all times.
- Stands as a reference person for information on inquiries concerning claims processing procedures.
- Monitors correct application of beneficiary share accordingly on service items billed.
- Makes sure that claims are properly audited of all data entered with accurate medical claims details.
- Notes all discrepancies during the course of the system process are properly forwards and notifies to immediate supervisors.
- Provide requisition of office supplies for Individual and Team requirement.
- Researches claims as needed
- Obtains and audit medical records to compute and record patient charges.
- Performs other related duties incidental to the work described herein.
Attention to detail and ability of multi-task.
Organizational & time management skills.
Excellent team player.
Ability to meet tight deadlines.
Ability to work under pressure to tight deadlines.
Strong communication skills.
Ability to work well with all levels of internal management and staff, as well as outside clients and users.
Ability to demonstrate sounds work ethics.
Show Flexibility With Excellent Interpersonal Skills.
Flexible to work in shifting schedule.
Demonstrate commitment to produce output base results.
BEHAVIORAL COMPETENCY
Customer & Market Excellence
- Strive for excellence at every touch point with the customer
- Foster state-of-art technical/operational knowledge and strive for continuous simplification
- Be the benchmark
- Empower the team and provide purpose and direction
- Develop people, provide feedback and care to employee wellbeing
- Collaborate and exchange best practice.
- Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
- Take ownership and responsibility
- Embrace innovation and a culture that allows to make decisions without fear of retribution.
- Act with integrity, honor commitments, tell the truth
- Foster diversity and inclusiveness
- Act transparently and promote corporate social responsibility.
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 shape a better future for our customers.
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.
Join us. 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 encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group
