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Claims Officer - Dutch - Dublin

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Allianz

Apr 4

  • Job
    Full-time
    Entry Level
  • Banking & Finance
  • Dublin

AI generated summary

  • You need 1-2 years in a customer-oriented role, MS Office skills, medical insurance knowledge, strong interpersonal skills, fluency in English and Dutch, and ability to work well under pressure.
  • You will process and adjudicate claims accurately within SLA, identify fraudulent claims, and provide exceptional customer service by responding to inquiries and contributing to team productivity targets. Additional duties may be assigned.

Requirements

  • 1 - 2 years’ experience in a customer focused environment, ideally in an administrative role
  • Proficiency in MS Office
  • Completion or progression towards the Diploma in Private Medical Insurance.
  • A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
  • Fluency in English and a second language.
  • Ability to work under pressure and to meet tight deadlines and service standards

Responsibilities

  • Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
  • Use client database accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
  • Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
  • Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
  • In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
  • Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
  • Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
  • Other Ad hoc duties as required

FAQs

What are the main responsibilities of a Claims Officer in this role?

The main responsibilities of a Claims Officer involve processing medical claims for clients worldwide, ensuring a high level of client service, and processing claims within a 48-hour timeframe.

What is the work environment like for a Claims Officer in this role?

The Claims Department is a fast-paced and challenging environment, with many different languages used and a mixture of cultures.

How quickly are claims expected to be processed by a Claims Officer in this role?

Claims are expected to be processed within an industry-leading 48 hours.

Our purpose: We secure your future. Our promise is to give confidence in tomorrow.

Finance
Industry
10,001+
Employees
1890
Founded Year

Mission & Purpose

The Allianz Group is one of the world's leading insurers and asset managers with more than 100 million private and corporate customers in more than 70 countries. We are proud to be the Worldwide Insurance Partner of the Olympic & Paralympic Movements from 2021 until 2028 and to be recognized as one of the industry leaders in the Dow Jones Sustainability Index. 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. Join us and together, let’s care for tomorrow.