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Provider Claims Queries Officer

Job Level:  Entry Level
Location: 

Dublin, IE, D12 P651

Due Date:  07.04.2022
Area of Expertise:  Customer Services & Claims
Unit:  Allianz Partners
Job Type:  Full-Time
Remote Job:  Not applicable
Employment Type:  Permanent
ID:  8056

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 and families. 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.

 

Are you interested in working for one of the worlds leading insurance and financial services companies? We are looking for Provider Claims Queries Officer within the Operations Support function to join our multicultural team based in Dublin 12.

 

Role Overview
 The role of Provider Claims Queries Officer involves the management of queries and reconciliation requests from our Providers ensuring a best in class service is delivered every time

 

Responsibilities

  • Manage Provider Claims queries through eGain ensuring a best in class customer service and quality experience is delivered to providers 
  • Adherence to internal procedures and guidelines, client service agreements and compliance & regulatory standards
  • Take ownership of each provider query ensuring all aspects of the query are answered right first time, eliminating rework and increased customer effort
  • Provide clear, concise and accurate responses in a professional manner, including internal and external information transfer
  • Provide direction, next steps and clear expectations to providers where a query involves further investigation or requires further information
  • Contribute to the team and department SLA ensuring query and reconciliation cases are managed efficiently and effectively
  • Ensure priority groups and contractual SLAs are achieved
  • Exhibit a proactive approach to Providers, ensuring an ongoing focus on enhancing the Provider experience through process improvements and simplification
  • Ensure accurate recording and Categorisation of all queries in Salesforce
  • Escalate and investigate invoices submitted outside of the Provider’s schedule of fees
  • Identify and escalate any Provider misrepresentation of Invoices on behalf of AWC Members
  • Provide support and guidance to the Provider Services Department as required
  • Support department and colleagues to ensure overall business targets are achieved
  • Other Ad hoc duties as required

 

Experience Required

  • A highly customer-focused individual with strong interpersonal and communication skills
  • Team player who acts as a positive role model and contributes to a great team atmosphere
  • Ability to prioritise workload and manage time effectively
  • Highly motivated and proactive individual who can work on own initiative and within a team setting
  • Experience in claims processing
  • Strong analytical skills
  • Proficiency in MS Office
  • APA in Private Medical Insurance
  • Fluency in English required (verbal and written)
  • Fluency in Spanish, French or Italian is desirable (verbal and written)

 

What we offer...

  • A competitive Salary
  • Career progression opportunities and training
  • Excellent benefits such as pension, health insurance for employee, his/her spouse and children under 18, and discounts on car and house insurance
  • Free onsite parking
  • Active Sports & Club society
  • Transport Subsidy
  • Support for professional studies
  • Relocation Assistance
  • Recognised as one of the best large companies to work for 2017

 

As an equal opportunity employer, Allianz Partners recognizes that our strength lies in our people and we are committed to diversity and inclusivity. So if you would like to be part of a global company that offers international career opportunities, kick-start your career and dare to join us!

For more information, please visit: www.allianzcare.com