Requirements
Bachelor's Degree in a medical field, 1+ years of experience in insurance, travel, and medical assistance operations. Fluency in English is mandatory, and fluency in Arabic (1st) and French (2nd) is a plus. Must be legally permitted to work in the country of operations and physically fit for duties.
Description
Key Responsibilities/What You DoManage the assigned tasks related to medical assistance cases.Evaluate medical claims according to the guidelines.Coordinate with different providers to ensure high quality of service when organizing medical assistance.Respond inbound and outbound telephone / e-mail Customer / Partners inquiries and ensure call quality monitoringClaims evaluation and processing activities such as checking policy, eligibility, claims creation in the system, follow up upon ongoing claims ensuring the requested turn around time and processing of claims and other tasks related to claims managementAssist callers on claims process / procedure / network inquiries, explaining policy terms & conditionsAccommodates Business Units / Travel / TPA International requests with regards to opening international files, placement of Guarantee of Payment, etc.Follow the complaints & escalation management process and log in complaints with action & resolution in the system / tools provided by the companyEnsure proper system related tasks as creating files and Service Providers updates on the portalRecord tasks in the productivity file, share with management and ensure reaching the level of productivity assignedFollow the internal processes and guidelines to ensure reaching the Operational KPIs (Quantity and Quality) and the attendance KPIsRequest feedback in relation to the performed tasks and discuss with Team Leader the monthly scorecard resultsMonitor daily activities as per the communicated Service Level Agreement, create reports / statistics / analysis and report any deviationAttend training sessions as requested and participate in the departmental activities in accordance with the monthly scheduleAttend internal meetings related to the job as per the internal requirements.AI READINESS Work 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.Key Requirements/What You BringBachelor's Degree in medical feild1+ years Insurance / Travel and medical assistance Operations ExperienceFluency in English is mandatoryFluency in Arabic (1st), French (2nd) is a plusFluency in typingLegally permitted to work in the country of operations.Physically fit to carry out dutiesKey Benefits/What We OfferOur employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.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.