Prior Authorization Specialist for Medical Approvals

Allianz Services

Abu Dhabi

On-site

AED 120,000 - 180,000

Full time

4 days ago
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Job summary

Allianz Partners in Abu Dhabi is seeking a Precertification Officer to obtain prior authorizations for procedural orders and ensure timely, policy-compliant decisions. You will assess medical necessity, input approvals, and manage high-cost claims while supporting the claims workflow with timely feedback to the call centre team.

The role requires a Bachelors of Science and at least 2+ years of medical/practical experience, with a focus on accuracy, efficiency, and customer satisfaction within a

Qualifications

  • Bachelors of Science is required.
  • 2+ years of Medical Practical Experience in a reputable insurance provider, broker or TPA is a plus.

Responsibilities

  • Obtains prior authorizations for procedural orders.
  • Assesses approval of medical approvals per policy.
  • Inputs verbal and written claims approvals.
  • Decides approvals as per policy conditions.
  • Evaluates high-cost claims and provides decisions.
  • Maintains productivity targets and turnaround times.

Education

Bachelors of Science

Job description

Allianz Partners in Abu Dhabi is seeking a Precertification Officer to obtain prior authorizations for procedural orders and ensure timely, policy-compliant decisions. You will assess medical necessity, input approvals, and manage high-cost claims while supporting the claims workflow with timely feedback to the call centre team.

The role requires a Bachelors of Science and at least 2+ years of medical/practical experience, with a focus on accuracy, efficiency, and customer satisfaction within a

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