Claims Officer - English with Turkish - Allianz Worldwide Care

The securing of a new large piece of business, which will suddenly increase number of claims submitted before additional resources are recruited.

The securing of new business whereby claims documentation is not of language that can easily be supported by the Claims Team eg: Chinese, Arabic, Greek

A market trend change resulting in a change in the product offering. eg: Tailored products.

Internal

System modifications which changes the way Claims are processed.

A Tailored Product which can not be system supported.



Adjudicate and process Claims within the agreed company SLA, clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target.

•Ensure correct adjudication of claims thus allowing accurate reporting on claims data.

•Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention

•Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.

•In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims.

•Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction.

•Expand medical knowledge through claims processing.

Job Details

Date Posted:	2014-06-03
Job Location:	Ireland
Job Role:	Healthcare/Medical
Company Industry:	Insurance

Preferred Candidate

Career Level:

Entry Level

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Date Posted: June 03, 2014 at 10:34AM

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Claims Officer - English with Turkish - Allianz Worldwide Care