Medical Claims Assistant Manager – Allianz Partners

Company: Full Time Jobs in Qatar
  • Location: Doha, Qatar View on Map
  • Date Posted: November 11, 2022
  • Salary: Negotiable
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About the job

Summary:

The Claims Management – Assistant Manager is responsible to supervise the processing/documents handling operations for efficient claims monitoring and responding to clients according to set quality & performance standards of the Claims Management department. The incumbent is also responsible in ensuring flexibility in handling loads and changes in the department, help the team to be client-oriented to deliver quality actions, promote productivity and efficiency

Main Tasks:

  • Assist the Claims Management – Manager in overall supervision of the Claims Management department and monitoring department performance; plus conducting unit meetings on behalf of the manager.
  • Assist the Manager in staff appraisal using company performance appraisal tool & ensure unit performs its task to have the medical ethics respected at all times.
  • Contributes in developing, updating and implementing policies and procedures to suit the functional objective of the business.
  • Responsible for the implementation of the core processes with accountability for the overall performance of the department.
  • Suggest updates in policies and procedures within the department to be followed by the staff members.
  • Ensures tasks of the team member requirements are fulfilled according to operational measures.
  • Monitors & ensures process claims targets and reporting targets are achieved.
  • Ensures high level of quality in daily claims processing for maximum medical data collection.
  • Monitors and follow-up on the performance of the department based on agreed performance targets.
  • Ensures high quality customer service is provided at all times by developing quality standards.
  • Ensures that communication requirements are being adhered to in a timely and professional manner.
  • Takes responsibility of any task/project assigned by the manager.
  • Ensures employees follow company ethics/values at all times.
  • Ensures accurate and timely claims processing and documents handling.
  • Ensures proper evaluation of processing/documents handling, releasing/tracking and management of cases.
  • Manages targets and quality check of data & efficiency of the staff members.
  • Assist the Claims Management – Manager in obtaining additional information needed for the accurate and timely claims processing/documents handling

Minimum Requirements:

  • Bachelor’s degree; MBBS required.
  • 3+ years of medical practical experience (reputable insurance provider, broker or a TPA experience a plus); Knowledge of overall insurance industry practices is a plus ;
  • Physically fit to carry out duties
  • Legally permitted to work in the country of operations.
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

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