loss prevention officer (bahraini) Jobs in Manama Bahrain

loss prevention officer (bahraini)

acc specialist

accounts admin

claims administrator Jobs in Manama Bahrain

claims administrator

claims processing officer Jobs in Manama Bahrain

claims processing officer

claims queries officer

Nextcare

<div>
 
 
 Key Responsibilities
 
 /What You Do
 
 
 
 <ul>
 <li>
 Handle incoming queries from healthcare providers via phone, email, and other communication channels.
 </li>
 <li>
 Provide accurate and timely information in response to provider inquiries.
 </li>
 <li>
 Escalate complex queries to appropriate departments or senior staff members as necessary.
 </li>
 <li>
 Maintain detailed records of all queries and their resolutions.
 </li>
 <li>
 Identify areas for improvement based on query analysis and feedback.
 </li>
 <li>
 Communicate clearly and effectively with healthcare providers, ensuring a high level of satisfaction.
 </li>
 <li>
 Collaborate with internal teams to resolve issues and provide comprehensive responses to providers.
 </li>
 <li>
 Keep providers informed about updates, policy changes, and other relevant information.
 </li>
 <li>
 Participate in training and development activities to stay current with industry standards and company policies.
 </li>
 <li>
 Adherence to internal procedures and guidelines, client service agreements and compliance &amp; regulatory standards
 </li>
 <li>
 Take ownership of each query ensuring all aspects of the query are answered right first time, eliminating rework and increased customer effort
 </li>
 <li>
 Provide clear, concise and accurate responses in a professional manner, including internal and external information transfer
 </li>
 <li>
 Provide direction, next steps and clear expectations to the client where a query involves further investigation or requires further information
 </li>
 <li>
 Contribute to the team and department SLA ensuring queries are managed efficiently and effectively
 </li>
 <li>
 Exhibit a proactive approach to the clients, ensuring an ongoing focus on enhancing the customer experience through process improvements and simplification
 </li>
 <li>
 Ensure accurate recording and Categorisation of all queries in the sy
 </li>
 <li>
 Support department and colleagues to ensure overall business targets are achieved
 </li>
 <li>
 Other Ad hoc duties as required
 
 
 </li>
 </ul>
 
 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 
 
 
 Key Requirements/What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
 </li>
 <li>
 With 2 years experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
 </li>
 <li>
 Excellent verbal and written communication skills.
 </li>
 <li>
 Strong problem-solving and analytical abilities.
 </li>
 <li>
 Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Strong organizational skills and attention to detail.
 </li>
 <li>
 Ability to prioritise workload and manage time effectively
 </li>
 <li>
 Experience in claims processing
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Hybrid working option available as per business requirements.
 
 
 </li>
 </ul>
 
 How we hire
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 
 
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 
 
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and 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 race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 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.
 
 
 Great to have you on board. Let's care for tomorrow.
</div>

Claims Queries Officer

Royal Bahrain Hospital and Royal Bahrain Medical Center

Job Title: Senior IT Officer / Assistant Manager &ndash; ITLocation: Manama, Bahrain Industry: HealthcareWe are seeking a smart, proactive, and technically strong healthcare IT professional to join our team as a Senior IT Officer / Assistant Manager &ndash; IT. The ideal candidate must have solid experience in Hospital Information Systems (HIS), strong SQL skills, and the ability to manage healthcare IT operations efficiently.Basic Mandatory Requirements:<ul><li>Excellent knowledge and hands-on experience in Hospital Information System (HIS)</li><li>4&ndash;5 years of healthcare IT experience</li><li>Strong SQL query writing skills (mandatory)</li><li>Strong analytical thinking and problem-solving abilities</li><li>Technically competent with in-depth knowledge of healthcare systems and database management</li></ul>Key Responsibilities:<ul><li>Manage and maintain the Hospital Information System (HIS)</li><li>Develop, write, and optimize SQL queries for reporting and data analysis</li><li>Provide technical support to clinical and administrative departments</li><li>Coordinate with vendors for system upgrades, troubleshooting, and maintenance</li><li>Ensure data security, backup management, and compliance with healthcare regulations</li><li>Monitor system performance and resolve technical issues promptly</li><li>Generate MIS reports and dashboards as required by management</li><li>Conduct user training sessions and prepare user manuals</li><li>Handle IT documentation, asset management, and system audits</li><li>Support integration between HIS and other healthcare applications</li><li>Assist in IT budgeting, infrastructure planning, and IT strategy implementation</li></ul>Job Type: Full-timeEducation:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Hospital / Medical Center: 4 years (Required)</li><li>HIS knowledge: 4 years (Required)</li><li>SQL (Structured Query Language): 4 years (Required)</li></ul>

Senior IT Officer / Assistant Manager – IT

<div>
 The Case Management Utilization Review Lead is responsible for in managing the High-cost cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Performing complete file review of high cost claims with regards to the multidisciplinary notes, TPR charts, physician order&rsquo;s notes, lab reports, radiology reports, drug chart sheets, consultation notes, nursing notes, progress notes, etc.
 </li>
 <li>
 Field hospital deployment or File Audit to be performed when required (Non- Physical or Physical [Provider Visit]) to capture hospital acquired infections, mismanagement, iatrogenic injuries, etc.
 </li>
 <li>
 Requesting any medical documentation or finding any missing document which is essential in decision making.
 </li>
 <li>
 Performing review of DRG Severity of Illness (SOI) in line with revision of CPT codes / ICD codes, which are being up-coded by the provider &ndash; if required discussion with the treating doctor and the medical coders.
 </li>
 <li>
 Performing utilization review for DRG cases and FFS cases with regards to and not limited to final bill review + consumables mark ups + non covered item/services + overutilization of services.
 </li>
 <li>
 Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA,DOH/HAAD,MOH).
 </li>
 <li>
 Pre-authorization and maintaining required out-put of high cost claims with detailed insight of claim on day to day basis.
 </li>
 <li>
 Adhering to the case management and cost containment protocols for elective high cost cases and medical management cases.
 </li>
 <li>
 Referring cases for second opinion when deemed necessary to confirm the best mode of management &ndash; also for cost containment to lesser Negotiating factor (NF) facilities within the member&rsquo;s network or option for home country treatment.
 </li>
 <li>
 Adjudicates High Cost claims at submission level for settlement between the insurer and health care provider as per policy terms and conditions.
 </li>
 <li>
 Adjudicates High cost claims at precertification level, authorize decision on the claim within policy terms and conditions.
 </li>
 <li>
 Continuously work to identify possible procedure inconsistencies; develop, recommend and implement improvements.
 </li>
 <li>
 Provide support to Medical Claims Officers to close all escalated claims queries within the agreed turn-around time.
 
 
 </li>
 </ul>
 Achieving a monthly savings target of AED 800,000 in line with the criteria or methodology defined by the Line Manager and Head of Department
 
 
 <ul>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s of Medicine (MBBS);
 </li>
 <li>
 3+ years medical practical experience (reputable insurance provider, broker or a TPA experience a plus).
 </li>
 <li>
 Knowledge of overall insurance industry practices is a plus.
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under
 
 
 contract. Any unsolicited submission will not be considered
 
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 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.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Field doctor - Lead role

<div>
 
 Job Overview
 
 
 
 The
 
 CareCentre - Assistant Manager
 
 is responsible for supporting the CareCentre - Manager in managing the functions of the CareCentre Department while ensuring that departmental goals, timeline of activities, and compliance measures are met. The incumbent has the responsibility to represent himself/herself as the manager-in-charge for all functional purposes in the absence of the CareCentre - Manager.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Provides directives along with the CareCentre Manager by providing technical assistance to evaluate complex, high-cost, or escalated claims while ensuring the quality, productivity and service level targets of staff members are met according to operational measures.
 </li>
 <li>
 Monitors and audits daily performance to ensure the best possible customer service.
 </li>
 <li>
 Assists in supervising team outputs as well as individual performance.
 </li>
 <li>
 Assess performance of the team (function) and support in developing skillsets to fulfill task requirements.
 </li>
 <li>
 Provides ongoing support and motivation to the team and encourages their professional growth.
 </li>
 <li>
 Continuously works to identify possible procedure inconsistencies; develops, recommends and implements improvements.
 </li>
 <li>
 Provides support to Medical Claims - Officers to close all escalated claims queries within the agreed turn-around-time.
 </li>
 <li>
 Escalates issues concerning the department and operations to the CareCentre Manager and implement recommended plan of actions.
 </li>
 <li>
 Suggests updates in policies and procedures within the department to be followed by the staff members.
 </li>
 <li>
 Assists in arranging workload distribution and for ensuring adequate staffing/resources daily and on a long-term basis (including hiring process) to ensure optimal customer service.
 </li>
 <li>
 Assists in developing and maintaining accurate MIS system that is applicable on reviewing calls and staff performance for quality and compliance; evaluates statistical reports to monitor trends and identify potential issues that can be managed proactively.
 </li>
 <li>
 Suggests training requirements of staff to ensure productivity and growth.
 </li>
 <li>
 Assists in establishing, training, and overseeing CareCentre management practices, internal controls, technical training, policies &amp; procedures, and process manuals
 </li>
 <li>
 Assists in promoting client relationships and engage in discussions that will help improve internal systems and processes.
 </li>
 <li>
 Operates as a team player and develop strong working relationships to ensure open communication across the board.
 </li>
 <li>
 Assumes complete responsibility of the CareCentre in the absence of the CareCentre Manager by monitoring the department&rsquo;s performance and service levels; ensures smooth and proper execution of tasks and adherence to SOPs and take necessary action to maintain the same.
 </li>
 <li>
 Keeps the CareCentre Manager updated with all reports and relevant information related to workflow and team management, and ensure that all actions taken (on behalf of or in the absence of the CareCentre Manager) are with accordance to operational measures.
 
 
 </li>
 </ul>
 
 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelors Degree ; Medical background preferred.
 </li>
 <li>
 2+ years experience in a middle management position in a Call Centre environment; Certifications and training in Insurance / Healthcare will be beneficial.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under
 
 
 contract. Any unsolicited submission will not be considered.
 
 
 
 
 What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 92688 | Human Resources | 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.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Care Centre Assistant Manager

<div>
 Medical Officer &ndash; Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Precertification team is functional on 24/7 basis. Therefore the Medical Officer will be working on flexible shift basis as per the schedule provided by the Team Leader.
 </li>
 <li>
 Adjudicates Cases at IP precertification level, authorizes decision within the stipulated turnaround time &amp; with the highest quality standards in view with the policy terms and conditions
 </li>
 <li>
 Performing complete file review with regards to the multidisciplinary notes, TPR charts, physician order&rsquo;s notes, lab reports, radiology reports, drug chart sheets, consultation notes, nursing notes, progress notes, etc.
 </li>
 <li>
 Requesting any medical documentation or finding any missing document which is essential in decision making.
 </li>
 <li>
 Performing review of DRG Severity of Illness (SOI) in line with revision of CPT codes / ICD codes, which are being up-coded by the provider &ndash; if required discussion with the treating doctor and the medical coders.
 </li>
 <li>
 Performing utilization review for DRG cases and FFS cases with regards to and not limited to final bill review + consumables mark ups + non covered item/services + overutilization of services.
 </li>
 <li>
 Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA,DOH/HAAD,MOH).
 </li>
 <li>
 Adhering to the cost containment protocols for medical management cases.
 </li>
 <li>
 Referring cases for second opinion when deemed necessary to confirm the best mode of management &ndash; also for cost containment to lesser Negotiating factor (NF) facilities within the member&rsquo;s network or option for home country treatment.
 </li>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
 </li>
 <li>
 01-02 years of Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Certified Medical Coder [Preferable]
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under
 
 
 contract. Any unsolicited submission will not be considered
 
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 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.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Medical Officer - Inpatient Precertification

<div>
 
 
 Key Responsibilities
 
 /What You Do
 
 
 
 <ul>
 <li>
 Review and analyze claims to ensure they are accurate and complete.
 </li>
 <li>
 Process claims adjustments and corrections as necessary.
 </li>
 <li>
 Reconcile claims data with financial records and systems.
 </li>
 <li>
 Identify and investigate discrepancies in claims transactions and ensure timely and accurate reconciliation of claims.
 </li>
 <li>
 Analyze claims data to identify trends and patterns.
 </li>
 <li>
 Prepare reports and presentations on claims performance and reconciliation outcomes.
 </li>
 <li>
 Utilize data analytics tools to improve the efficiency of the claims reconciliation process.
 </li>
 <li>
 Assist in internal and external audits related to claims and reconciliation.
 </li>
 <li>
 Maintain accurate and organized documentation for audit purposes.
 </li>
 <li>
 Work closely with the finance, processors, and customer service departments to resolve claims issues.
 </li>
 <li>
 Communicate effectively with stakeholders to address and resolve claims discrepancies.
 </li>
 <li>
 Handle and support direct communication with the healthcare providers on their rejection ratio and reconciliation review findings.
 </li>
 <li>
 Conduct Reconciliation meetings with the stakeholders as required by the reconciliation process.
 </li>
 <li>
 Other Ad hoc duties as required
 
 
 </li>
 </ul>
 
 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 
 
 
 Key Requirements/What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
 </li>
 <li>
 Minimum of 2-3 years of experience in claims reconciliation, financial analysis, or a similar role.
 </li>
 <li>
 Experience in the insurance or healthcare industry is preferred.
 </li>
 <li>
 Strong analytical and problem-solving skills.
 </li>
 <li>
 Proficiency in Microsoft Excel and other data analysis tools.
 </li>
 <li>
 Excellent attention to detail and accuracy.
 </li>
 <li>
 Strong organizational and time management skills.
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Excellent written and verbal communication skills.
 </li>
 <li>
 Familiarity with claims processing systems and software.
 </li>
 <li>
 Understanding of regulatory requirements related to claims and reconciliation.
 </li>
 <li>
 Knowledge of accounting principles and practices.
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Hybrid working option available as per business requirements.
 
 
 </li>
 </ul>
 
 How we hire
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 
 
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 
 
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and 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 race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 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.
 
 
 Great to have you on board. Let's care for tomorrow.
</div>

Claims Reconciliation Officer

<div>
 
 
 Key Responsibilities
 
 /What You Do
 
 
 
 <ul>
 <li>
 Oversee the end-to-end claims reconciliation process to ensure accuracy and completeness.
 </li>
 <li>
 Identify and resolve discrepancies between claims payments and receivables.
 </li>
 <li>
 Analyze reconciliation data to identify trends, patterns, and areas for improvement.
 </li>
 <li>
 Generate and present detailed reports on reconciliation performance and discrepancies to senior management.
 </li>
 <li>
 Utilize data analysis tools and software to enhance the accuracy and efficiency of the reconciliation process.
 </li>
 <li>
 Collaborate with internal teams such as claims processing, finance, BD and MPM to ensure seamless reconciliation operations.
 </li>
 <li>
 Communicate with external stakeholders, including insurers, clients, and providers, to resolve reconciliation issues.
 </li>
 <li>
 Maintain strong relationships with all stakeholders to facilitate effective collaboration and communication.
 </li>
 <li>
 Provide leadership, guidance, and mentoring to the claims reconciliation team.
 </li>
 <li>
 Continuously evaluate and improve reconciliation processes and procedures to increase productivity and accuracy.
 </li>
 <li>
 Ensure all claims reconciliation processes comply with internal policies, external regulations, and industry standards.
 </li>
 <li>
 Provide guidance and support to junior claims reconciliation officers, fostering a collaborative and productive work environment.
 </li>
 <li>
 Other Ad hoc duties as required
 
 
 </li>
 </ul>
 
 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 
 
 
 Key Requirements/What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred..
 </li>
 <li>
 Minimum of 3-5 years of experience in claims reconciliation, accounting, or a related field.
 </li>
 <li>
 Proven track record of successful reconciliation management and discrepancy resolution.
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 Experience in a leadership or senior analytical role.
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 Strong analytical and problem-solving skills with the ability to interpret complex data.
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 Excellent communication, negotiation, and interpersonal skills.
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 Proficiency in data analysis tools and reconciliation software.
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 High level of accuracy and attention to detail.
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 Ability to lead, mentor, and motivate a team.
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 Strong organizational and project management skills.
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 Ability to work independently and as part of a team.
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 Legally permitted to work in the country of operations.
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 Hybrid working option available as per business requirements.
 
 
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 How we hire
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 
 
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 
 
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and 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 race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 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.
 
 
 Great to have you on board. Let's care for tomorrow.
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Senior Claims Reconciliation Officer

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