Finance - Claims Payment Processor & Reconciliation-Ops

Job Overview

The Claims Payment Processor & Reconciliation Officer main duties are; to manage financial transactions between medical providers, insurance companies, and internal finance teams to ensure timely and accurate claims payments, resolve any discrepancies, to report the processed claims to the payer, prepare EFTs (Electronic fund transfer) for claims, updates the accounting and other financial software, and send statement of accounts and outstanding to our clients. This role also incudes the receivables calculation and collection from Providers.

What You Do

• Generates regularly outstanding reports from all the payers and send them to the payers monthly
• Prepare the payments for the providers within the TAT
• Monitors the Claims aging payments flow from all payers and follow up on payments when needed.
• Ensures the financial transactions are booked in a timely manner and are compliant with proper supporting backup.
• Ensures control procedures are followed.
• Ensures all accounting deadlines are met.
• Provides professional correspondence internally and externally, i.e. members of insurance companies and their client-related claims.
• Resolves discrepancies.
• Monitors transactions to determine accuracy, completeness and conformance to established policies and internal procedures.
• Keeps track of records and files and provide correct information of record details when required.
• Calculation and collection of receivables from the providers.
• Organizes all data and files for easy access
  
  

What You Bring

• Bachelor’s Degree; Finance / Account or equivalent background preferred.
• 1+ years relevant experience; in a TPA , Hospitals or Medical Centers is an added advantage.
• High sense of responsibility
• Team player.
• 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
  
  

At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.

81880 | Finance & Accounting | Professional | Non-Executive | 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.

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.

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.

Great to have you on board. Let's care for tomorrow.