Sr. Specialist - AAGI A&H Claims Payment CPU2

Sr. Specialist - AAGI A&H Claims Payment CPU2

• Provider/member claims assessment base on their authority.
• Monitor/review/follow-up pending claim cases in timely manner.
• Produce claim reports:
Claim monthly reports
Insurance claim shortfall report , Adhoc reports
• Claim quality checking.
• To coordinate with relevant departments if clarifications/inquiries are required, such as Finance, CS, Sale, UW, etc.
• Support other team when needed such as FAX claims assessment, review customer medical history etc.
• Other assignments

Qualifications :

• Bachelor degree in Nursing Science

• Minimum 2 Years of experience in Claims Assessor or other related fields in insurance industry

• Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage

Integrity, Fairness, Inclusion & Trust

We believe in fostering an inclusive workforce and are proud to be an equal opportunity employer. To fulfill our commitment to equal opportunities, gender equity, and balanced gender representation, Allianz Ireland has achieved the globally recognized EDGE certification