Insurance Claims Specialist
hace 2 semanas
We are seeking a highly skilled Insurance Claims Specialist to join our team at Allianz Partners. In this role, you will be responsible for reviewing and processing insurance claims in a timely and efficient manner.
About the RoleThis is a dynamic position that requires strong communication skills, attention to detail, and the ability to work independently in a fast-paced environment.
Responsibilities:- Conduct daily monitoring of hospitalized patients and/or outpatient care, updating notes and keeping records of decisions in computer system.
- Secure Medical Consultant's or Registered Nurse's assessment of medical information.
- Provide approvals for defined procedures and liaise with medical team as required.
- Liaise with patient and/or family regarding benefit information (incl. LOB), itinerary, technical benefits and arrangements for the case.
- BA degree or Highschool diploma
- Ability to pay close attention to detail and multi-task.
- Superb verbal communication skills, specifically the ability to communicate professionally and articulately via phone with clients and colleagues.
- Experience in the Emergency Assistance Department is a plus.
- Demonstrated ability to use initiative and independent judgment in solving customer problems.
- Proven ability to showcase a high level of accountability and ownership over a task.
- Good understanding of world geography and current events.
- Familiarity with medical terminology is a plus.
- Fluency in French or Spanish is preferred.
- Monthly salary of $42,600 USD
- $1,400 MXN in food coupons
- 2 days off a week
- Law benefits
- Health insurance
- Major medical expenses insurance
- Saving fund
- $7,200 MXN in performance bonus
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