Medical Claims Officer

Allianz; Dubai; On-site; USD 45,000 - 65,000; Full time

Job summary

Allianz is seeking a Medical Claims Officer to provide quality service by assessing and processing claims efficiently. The role involves managing claims administration, coordinating with clients and providers, and improving service delivery. Candidates should possess a Bachelor's of Medicine and relevant medical experience, along with strong organizational and communication skills.

Qualifications

• Bachelor's of Medicine (MBBS) required.
• Medical practical experience with insurance providers preferred.
• Proficient in MS Office applications.

Responsibilities

• Manage daily claims administration and evaluate claims for eligibility.
• Handle international preauthorization cases and coordinate with providers.
• Suggest improvements to enhance service and efficiency.

Skills

Organizational skills

Time management

Interpersonal skills

Communication

Initiative

Education

Bachelor's of Medicine (MBBS)

Tools

MS Office

Job description

SUMMARY

The Medical Claims Officer will provide quality service to clients by promptly and effectively assessing and processing claims and approvals according to operational standards.

MAIN TASKS

1. Manages routine daily claims administration work.
2. Coordinates workflow and meets deadlines.
3. Evaluates claims regarding eligibility.
4. Decides on high-cost and complicated cases based on standard operating procedures.
5. Handles International Preauthorization cases as required.
6. Attends to calls and emails from insurance companies, clients, and providers.
7. Coordinates with international providers for direct billing.
8. Makes suggestions to improve service, increase efficiency, and minimize errors and administrative time.

BEHAVIORAL REQUIREMENTS

• Organizational and time management skills.
• Excellent team player with the ability to work well with all levels of management, staff, clients, and users.
• Demonstrates sound work ethics and flexibility with excellent interpersonal skills.
• Communicates sensitively and effectively, maintaining confidentiality.
• Responds diplomatically under pressure, showing a calm approach to deadlines.
• Shows initiative, works flexibly under pressure, and maintains professionalism when working with senior managers and colleagues.

BEHAVIORAL COMPETENCIES

• Customer & Market Excellence: Strives for excellence, technical knowledge, and continuous improvement.
• Collaborative Leadership: Empowers teams, develops people, and promotes best practices.
• Entrepreneurship: Acts on opportunities, embraces innovation, and takes ownership.
• Trust: Acts with integrity, promotes transparency, diversity, and social responsibility.

MINIMUM REQUIREMENTS

• Bachelor's of Medicine (MBBS).
• Medical practical experience, preferably with reputable insurance providers, brokers, or TPAs.
• Physically fit to perform duties.
• Legally permitted to work in the country of operations.
• Proficient in MS Office (Excel, Word, Outlook, PowerPoint) and internet research skills.

Join Allianz Partners, a trusted global insurance and asset management company, committed to diversity, inclusion, and building a better future. We welcome applications from all backgrounds and encourage you to bring your whole self to work.