Urwah Admin

Allianz

<p>Key Responsibilities:</p>
<ul>
<li>Send the processed claims reports to the payers in a regular basis.</li>
<li>Prepare the payments for the providers within the TAT.</li>
<li>Ensures the financial transactions are booked in a timely manner and are compliant with proper supporting backup.</li>
<li>Ensures control procedures are followed.</li>
<li>Ensures all accounting deadlines are met.</li>
<li>Provides professional correspondence internally and externally.</li>
<li>Resolves accounting discrepancies.</li>
<li>Monitors transactions to determine accuracy.</li>
<li>Keeps track of records and files and provide correct information of record details when required.</li>
<li>Maintains various account reconciliations and post necessary monthly journal entries.</li>
</ul>

Payment Processor

<p>Assist in managing and leading a team of claims adjusters.</p><p>Act as a liaison between the Claims Manager and the claims team, ensuring clear communication and alignment of objectives.</p><p>Step in for the Claims Manager during absences, maintaining continuity of leadership and operations.</p><p>Assist the Claims Manager in the development and implementation of departmental strategies and goals.</p><p>Provide regular updates and reports to the Claims Manager on team performance, claims processing, and customer satisfaction.</p><p>Participate in strategic planning sessions and contribute to decision-making processes.</p><p>Provide guidance, training, and mentorship to team members to enhance their skills and performance.</p><p>Monitor team workload and ensure equitable distribution of tasks.</p><p>Review complex or escalated claims and provide guidance on claim determinations.</p><p>Resolve escalated customer inquiries and complaints regarding claims issues.</p><p>Analyse claims data and performance metrics to identify trends and opportunities for process improvement.</p><p>Prepare and present reports on claims activities, outcomes, and key performance indicators (KPIs) to senior management.</p><p>Utilize data analysis to drive strategic decision-making and optimize claims processes.</p><p>Actively participate in various operational activities, outside of claims, to ensure that operational service delivery is coordinated to meet and exceed clients' expectations.</p><p>Assist in developing and updating claims policies and procedures.</p><p>Ensure team adherence to all regulatory and company guidelines.</p><p>Prepare and present regular reports on claims activity, performance metrics, and trends.</p><p>Analyse data to identify areas for improvement and implement corrective actions.</p><p>Other Ad hoc duties as require</p>

Assistant Claims Manager

<div><span style="font-size: 11px;"><b>After Sales Support - Policy Administrator Officer</b></span></div><div><span style="font-size: 11px;">The After Sales Support - Policy Administrator oversees complex tasks such as managing data entry, analyzing information, and processing card printing to ensure client quality standards are consistently met in accuracy and turnaround time.</span></div><div><span style="font-size: 11px;"><b><br></b></span></div><div><span style="font-size: 11px;"><b>Key responsibilities/What you do:</b></span></div><div><span style="font-size: 11px;">Coordinates the addition of new members into the client scheme and database.</span></div><div><span style="font-size: 11px;">Corrects data errors, upgrades members, deletes records, and modifies the client database to align with client needs.</span></div><div><span style="font-size: 11px;">Ensures card printing meets the high-quality standards established by clients.</span></div><div><span style="font-size: 11px;">Generates regular performance reports, daily or periodic.</span></div><div><span style="font-size: 11px;">Handles advanced tasks including design and photo editing.</span></div><div><span style="font-size: 11px;">Maintains precise records of all activities for both internal and external audits</span></div><div><span style="font-size: 11px;"><b><br></b></span></div><div><span style="font-size: 11px;"><b>Key requirements/What you bring:</b></span></div><div><span style="font-size: 11px;">Bachelor's degree; a medical background is preferred.</span></div><div><span style="font-size: 11px;">Experience in Project Coordination is advantageous.</span></div><div><span style="font-size: 11px;">Physically capable of performing job duties.</span></div><div><span style="font-size: 11px;">Authorized to work legally in the operating country.</span></div><div><span style="font-size: 11px;">Proficient in MS Office (Excel, Word, Outlook, PowerPoint) and skilled in internet research and navigation.</span></div><div><br></div>

After Sales Support - Policy Administrator Officer

<p><b>Key responsibilities/What you do:</b></p> <ul> <li>Review and assess medical claims for both inpatient and outpatient services to determine coverage eligibility and compliance with policy terms.</li> <li>Validate Diagnosis-Related Group (DRG) coding for inpatient admissions using ICD-10-CM and CPT standards, ensuring alignment with clinical documentation.</li> <li>Apply thorough knowledge of UAE healthcare billing regulations, including DHA, DOH, and MOH guidelines, to ensure claims meet local compliance standards.</li> <li>Identify and rectify incomplete or inaccurate claim submissions.</li> <li>Ensure all required documentation is present and properly coded aligning with policy guidelines.</li> <li>Notify payers regarding claims that exceed predefined financial thresholds, ensuring timely communication and resolution.</li> <li>Track and maintain both quantitative (volume) and qualitative (accuracy) metrics for claims processing.</li> <li>Achieve assigned daily processing targets while maintaining high levels of accuracy and efficiency.</li> <li>Collaborate with internal departments to resolve claim-related queries.</li> <li>Perform other responsibilities as assigned by the department lead, in line with the scope of the role.</li> </ul>

Medical Claims Senior Assessor

SUMMARY The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. MAIN TASKS   Manages routine daily claims administration work.   Coordinates work flow &amp; meet deadlines.   Evaluates claims with regards to eligibility.   Takes decisions on high cost and complicated cases based on standard operating procedures.   Handles International Preauthorization cases as required.   Attends cal SUMMARY The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. MAIN TASKS   Manages routine daily claims administration work.   Coordinates work flow &amp; meet deadlines.   Evaluates claims with regards to eligibility.   Takes decisions on high cost and complicated cases based on standard operating procedures.   Handles International Preauthorization cases as required.   Attends calls and e-mails from insurance companies, clients, and providers.   Coordinates with international providers for direct billing.   Makes suggestions to improve service.   Increases efficiency, minimizes errors and administration time. BEHAVIORAL REQUIREMENTS   Organizational &amp; time management skills.   Excellent team player.   Ability to work well with all levels of internal management and staff, as well as outside clients and users.   Ability to demonstrate sound work ethics.   Show flexibility with excellent interpersonal skills.   The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.   To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.   The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.   Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others. BEHAVIORAL COMPETENCY Customer &amp; 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. Trust:   Act with integrity, honor commitments, tell the truth   Foster diversity and inclusiveness   Act transparently and promote corporate social responsibility. MINIMUM REQUIREMENTS   Bachelor's of Medicine (MBBS) only.   Medical Practical Experience (reputable insurance provider, broker or a TPA experience 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 44265 | Operations | Professional | ((custPositionClusterCSB)) | Allianz Partners | Full-Time | Permanent 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. Great to have you on board. Let's care for tomorrow.

Medical Claims Officer

<div>
 <strong>
  How can you make an impact?
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 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree in Engineering, Mathematics, Statistics, or related fields
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   Minimum 2 years of experience in Customer Data Analytics, Business Intelligence, Reporting, Data Modeling, and ETL solutions/projects
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   Proficient in relational database concepts and languages such as SQL, TSQL, PL/SQL
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   Experience or knowledge in Big Data and Open Source technologies is a plus
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   Strong analytical mindset with the ability to tackle ambiguous problems, identify relevant data, make assumptions, and deliver actionable insights
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  <li>
   Skilled in defining KPI strategies, growth opportunities, time series analysis, and data visualization
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   Experience with persona analysis and customer journey mapping methodologies
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  <li>
   Proficient in at least one data modeling or analytics tool such as SAS, KNIME,PBI, Python, or R
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  <li>
   Solid command of Microsoft Office applications
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   Excellent verbal and written communication skills, able to present data-driven information clearly and professionally
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   Proven ability to collaborate effectively with cross-functional teams and stakeholders
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  <li>
   Self-motivated, proactive, with a creative and problem-solving approach, open to innovation and continuous learning
  </li>
  <li>
   Fluent in English
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  </li>
 </ul>
 <strong>
  What do we expect you to bring?
  <br/>
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 </strong>
 <ul>
  <li>
   Act as an Analytics Translator by converting complex data into actionable insights accessible to all stakeholders
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  <li>
   Collaborate with cross-functional teams to define success metrics, track and quantify data, and develop a shared understanding of KPIs
  </li>
  <li>
   Provide ad-hoc analysis and build automated dashboards to offer clear visibility into business performance
  </li>
  <li>
   Develop deep analytical insights into the drivers of product growth and identify areas for improvement
  </li>
  <li>
   Lead the design, implementation, and optimization of loyalty programs, analyzing user behavior through customer segmentation, RFM, and cohort analyses
  </li>
  <li>
   Monitor loyalty campaign performance, design A/B tests, and generate valuable insights for continuous improvement
  </li>
  <li>
   Prepare regular dashboards and reports using data visualization tools for various business units
  </li>
  <li>
   Build predictive models such as churn analysis, CLV estimation, and user lifecycle forecasting
  </li>
  <li>
   Partner closely with CX and Marketing teams to create personalized, data-driven campaigns
  </li>
  <li>
   Aggregate data from multiple sources to create comprehensive dashboards and presentations
  </li>
  <li>
   Use customer insights and analytics to propose and implement strategic improvements
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  <li>
   Analyze customer feedback, identify key trends and outliers, and derive actionable insights to enhance customer experience
  </li>
  <li>
   Recommend data-driven changes to support strategic decision making and business growth
  </li>
  <li>
   Stay updated on the latest technology trends and contribute to AI projects using Python and R
  </li>
  <li>
   Support the development of communication strategies focused on acquiring new customers and retaining existing ones
  </li>
  <li>
   Conduct market and sales forecasting studies and prepare detailed forecast analyses
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  </li>
 </ul>
 <strong>
  What we will offer you?
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 </strong>
 <strong>
  Company
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 </strong>
 <ul>
  <li>
   Working in Green certificated &amp; pet friendly Allianz Tower / Allianz Kamp&uuml;s with modern work spaces, gym &amp; social areas.
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  <li>
   Working in agile, flexible, digital and social culture
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  <li>
   Flexible working hours
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  <li>
   Working 40 hours a week
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   Hybrid working
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   Flex summer (July &ndash; August)
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  <li>
   Part time working
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  </li>
 </ul>
 <strong>
  Benefits
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  <br/>
 </strong>
 <ul>
  <li>
   Yearly bonus
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   Home expense payment
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   Home office payment (monthly)
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   Transportation
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   Life insurance
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   Employer sponsored pension &amp; Family included health insurance
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   Special Allowances (Marriage, newborn etc.)
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  <li>
   Meal Allowance (Card/monthly)
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  </li>
 </ul>
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  Leave Rights
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 </strong>
 <ul>
  <li>
   School Report Day (Half Day) &amp; First Day of school (Half Day)
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  <li>
   Allianz day off
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   Birthday day off
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  <li>
   Paternity Leave &ndash; 10 days
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  <li>
   Marriage Leave &ndash; 5 days
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   After 4 years of work, having extra one day annual leave each year (up to 26 days)
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   <br/>
  </li>
 </ul>
 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.
 <br/>
 <br/>
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 <br/>
 <br/>
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 <br/>
 <br/>
 <strong>
  Join us.
 </strong>
 Let's care for tomorrow.
 <br/>
 <br/>
 <strong>
  And there is much more!
  <br/>
  <br/>
 </strong>
 Do the items above define you? Do you believe you can passionately and successfully carry out the tasks involved in the job description, that is the perfect match for you? Then, come and apply for the
 <strong>
  &ldquo;Customer Experience Data Scientist - P&amp;C Retail Insurance Member&rdquo;
 </strong>
 position.
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 <br/>
 While you await news from us, we would like to share a playlist with you to help you enjoy your time.
 <br/>
 <br/>
 https://open.spotify.com/playlist/1Zx2if289cAz4WClmUvsL5?si=b48f678f66424584
</div>


Customer Experience Data Scientist - P&C Retail Insurance Member

Join Allianz and explore 6   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.