Job Description

Claims retrospective Associate will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.

Key responsibilities/What you do:

• Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to eligibility. Apply nextcare cost containment protocols for OP claims at the retrospective review level Attends calls and e-mails from insurance companies, clients, and providers. Makes suggestions to improve service. Customer & Market Excellence: Strive for excellence at every touch point with the customer Foster state-of-art technical/operational knowledge and strive for continuous simplification Be the benchmark Collaborative Leadership: Empower the team and provide purpose and direction Develop people, provide feedback and care to employee wellbeing Collaborate and exchange best practice. Entrepreneurship: Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure Take ownership and responsibility Embrace innovation and a culture that allows to make decisions without fear of retribution
• 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 bring:

• Bachelor’s degree in Medicine. Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level Physically fit to carry out duties. Certified Medical Coder [Preferable] Legally permitted to work in the country of operations. Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills Working conditions are normal for an office environment

Key benefits/What we offer:

Our 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