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Operations Support - Quality Assurance Specialist

Job Level:  Professional


Available until:  09/30/2022
Area of Expertise:  Inhouse Consulting
Unit:  Allianz Partners
Employing Entity:  NEXTCARE Claims Management LLC
Job Type:  Full-Time
Remote Job:  Hybrid working
Employment Type:  Permanent
ID:  11944

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the business, which has a number of well-known customer facing brands such as Allianz Care, Nextcare and Medi24.

The International Health line of business provides international health, life and disability insurance and services, reinsurance and administration services to a wide range of customers. These include multinational companies, intergovernmental organisations (IGOs), non-governmental organisations (NGOs), private individuals, families and students. Our mission is to ensure that customers have access to quality healthcare through our support, care and commitment to go the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment and value for our customers.




The quality assurance specialist is responsible for supporting and conducting the operations department quality processes and the efficacy of the overall systems in place to ensure the utmost in customer satisfaction as well as be responsible for ensuring continual quality improvement and management.


Main Responsibilities:



Maintain, assist in and develop department policies, procedures and processes, as required
Contributing information and analysis from customer/claim journey reviews to strategic plans with action plans and follow ups
Conducting and assisting in internal quality assurance audits
Monitor internal workflows for execution, ownership and maintenance
Provide assistance in updating and maintaining workflows
Monitor and maintain affected databases and lists
Effective, accurate, timely communication and MIS reporting
Combine large amounts of data and analysis into meaningful conclusions with root cause analysis and action plans;
Produce presentations, dashboards, and reports.

Minimum Requirements: 


Medical background;
TPA and / or healthcare background;
Minimum 3 years relevant experience;
Experience with Microsoft Office products;
Excellent interpersonal, communication & presentation skills;

Ability to solve problems and suggest solutions to improve business process and results