Specialist - AAGI A&H Fax Claims

About the Company

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. We are united by a shared commitment to put our customers first and to build an inclusive workplace where integrity, fairness, inclusion and trust are at the heart of our culture.

Responsibilities

• Support Claims Hospital Fax Team by handling fax claims received from hospitals
• Check information from fax claim documents and record into the system
• Support team to investigate and make decisions for claims in the system, including approving payments based on authorization with accuracy
• Verify claim activities with authority and perform rejection of fax claims when required
• Request additional information and issue memos in the system for administration to perform next steps
• Submit cases for further investigation and request hospital records from hospitals
• Continuously monitor and make decisions for pending hospital fax claims or backlog

Qualifications

• Bachelor’s degree in Nursing Sciences, Science of Medical Technology, or related field
• At least 2 years’ experience in nursing practice or claims management
• Knowledge of claims management and insurance policies
• Experience in document management and filing systems

Skills / Nice to Have

• Familiarity with claims/CRM systems is an advantage
• Knowledge of MS Office
• Any AI-related skills (e.g., ChatGPT, CoPilot365) will be an advantage

Additional Information

• Work arrangement: onsite
• Employment type: full-time