Precertification Officer

SummaryPrecertification officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.MAIN TASKS Assesses approval of medical approvals as well as policy use.Checks particular treatment plan is necessary for the patient.Inputs verbal and written claims approvals regularly.Decides approvals as per policy conditions.Assess high cost claims and provide decision on high cost and complicated cases. Provides clear feedback on queries from call Centre team.Provides clients an understanding of any declined medical claims.Coordinates work flow & meet deadlines. Evaluates claims with regards to eligibility. Behavioural RequirementsStrong verbal and written communication skills.Show flexibility, excellent interpersonal skills. Team Player.Attention to detail and quality.Ability to work well with all levels of internal management and staff, as well as outside clients and users. Ability to train other staff. The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality. 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.The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.BEHAVIORAL COMPETENCYCustomer & Market Excellence:Strive for excellence at every touch point with the customerFoster state-of-art technical/operational knowledge and strive for continuous simplificationBe the benchmarkCollaborative Leadership:Empower the team and provide purpose and directionDevelop people, provide feedback and care to employee wellbeingCollaborate and exchange best practice.Entrepreneurship:Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failureTake ownership and responsibilityEmbrace innovation and a culture that allows to make decisions without fear of retribution.Trust:Act with integrity, honor commitments, tell the truthFoster diversity and inclusivenessAct transparently and promote corporate social responsibility. Minimum RequirementsBachelor’s of Medicine\Pharmacy.2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).Legally permitted to work in the country of operations.Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.40509 | Operations | Entry Level | Non-Executive | Allianz Partners | Full-Time | PermanentAllianz 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 shape a better future for our customers.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.Join us. Let's care for tomorrow.Note: Diversity of minds is an integral part of Allianz' company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group.