Sr Specialist A H Fax Claims

Job description

Job Role : Assigned to support Claims Hospital Fax Team. Also handle the fax claims received from hospitals, tracks and monitors to ensure that there is no the pending cases of fax claims, or back log. Job Responsibilities : Provide support to the team in handling hospital fax claims. Review information from fax claim documents and record it into the system. Assist the team in investigating and making decisions on claims in the system by performing the following actions: Approve payments based on authorization. Reject invalid fax claims. Request additional information when necessary. Issue memos in the system to guide administrative next steps. Submit claims for further investigation. Request hospital records directly from the hospital. Continuously monitor pending hospital fax claims and backlog cases, ensuring timely decisions are made. Qualifications : Bachelor degree in Nursing Science 5 years of working experience Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage. 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. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for 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. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural Internal background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations. Join us. Let's care for tomorrow.