QAS Officer - Claims Department

KEY RESPONSIBILITIES

• Release claims for Claims Officers with a lower release limit within Clear to Zero service levels
• Consistently achieve agreed productivity and quality targets to support departmental goals
• Support, mentor & provide constructive educational feedback to Claims Officers on areas for improvement and clarification of claims protocols
• Identify training gaps and make recommendations to the Training team
• Support the Training team as operationally required
• Mentor Claims Officers to achieve acceptable adjudication, cost containment & fraud identification standards
• Identify cost containment regional opportunities and report opportunities to the QAS Team Leader and Claims Management team
• Develop and maintain relationships with internal stakeholders to promote effective communication
• Support Team Leader with development and training of new staff which will assist in the achievement of the team's target.
• Deputising for Team Leader when out of the office, as required
• Support department and colleagues to ensure overall business targets are achieved
• Other Ad hoc duties as operationally required

KEY REQUIREMENTS

• A highly customer-focused individual with strong interpersonal and communication skills
• Team player who acts as a positive role model and contributes to a great team atmosphere
• Ability to prioritise workload and manage time effectively
• Highly motivated and proactive individual who can work on own initiative and within a team setting
• Experience in claims processing
• Strong analytical skills
• Proficiency in MS Office
• APA in Private Medical Insurance
• Fluency in English required (verbal and written)
• Fluency in Spanish, French or Italian is desirable (verbal and written)
• Proficiency with AI tools and LLMs

Allianz Partners is an equal opportunity employer committed to diversity and inclusivity.