Loading...
 
Share this Job

Health Group And Retail Claims Manager - Cashless and Repaid claims

Job Level:  Professional
Location: 

Milan, IT, 20145

Due Date:  To be filled asap
Area of Expertise:  Customer Services & Claims
Unit:  Allianz Italy
Job Type:  Full-Time
Remote Job:  Not applicable
Employment Type:  Permanent
ID:  3616

KEY RESPONSIBILITIES

 

The role will be accountable for:

•    Definition, implementation and update of Health claims procedures, in order to rule volumes of claims both within the Company and through external Providers. 
•    Rule claims reserves 
•    Responsible of efficiency and effectiveness of the Team assigned 
•    Accountable for internal auditing and corrective actions on claims processes
•    Responsible of budget of costs related to group and retails claims
•    Manage external TPA Providers: define service contracts, service levels, cost of contact 
•    Look into claims processes and set action plans for the IT claims platform evolution
•    Manage, develop and motivate direct Reports

 

Seniority and ability to talk as a peer with Legal Areas and Medical Experts as well as with Institutional Bodies is required.

 

 

KEY REQUIREMENTS/SKILLS/EXPERIENCE 

 

 - Experience (at least 3 years) with direct responsibility in managing/coordinating operational units,  operations centre, in specialized Insurance Companies, Consultancy Firms or TPA
- Master’s Degree in Law, Business Administration or Engineering  
- Excellent knowledge of in and out network specifics claims processes and procedures (hospitalization, specialists care, dental care, prevention, long term care, etc.)
- Excellent knowledge of mass claims adjustment and digital channels
 - Experience in managing call center/back office 
- Capacity to define business/functional requirements  with reference to claims adjustment processes, escalation rules, controls
- Excellent knowledge of main operational KPIs  (e.g. response rate, VL, average cost, no follow up claims rate)
- Fluency in Italian and English, written and spoken 
- Proficient with Office Suite 


Location will be Milan, with frequent travels especially to Allianz Turin branch.

 


 

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 to shape a better future for our customers and the world around us. 
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.

Both genders may apply in accordance with the L. 903/77 (s.m.i).