We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the business, which has several well-known customers facing brands such as Allianz Care, Nextcare and Medi24.
The International Health line of business provides international health, life and disability insurance and services, reinsurance, and administration services to a wide range of customers. These include multinational companies, intergovernmental organizations (IGOs), non-governmental organizations (NGOs), private individuals, families, and students. Our mission is to ensure that customers have access to quality healthcare through our support, care, and commitment to go the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment, and value for our customer.
Summary
The main duty of a Travel & Assistance Officer is to manage the claims cycle about the Travel & Assistance products / services by following standard protocols, to respond to telephone / e-mail inquiries and. The incumbent is also responsible to ensure all KPI\'s are achieved & dealt with the highest standards of customer service. The Department will keep a record document details of telephone conversation and actions taken, in order to make further follow-ups and corrective action as required. The Travel & Assistance Officer will work closely with the Travel & Assistance team and management ensuring that all defined standards are met with excellent customer services standards.
Main Tasks
Manage the assigned tasks related to medical assistance cases.
Evaluate medical claims according to the guidelines.
Coordinate with different providers to ensure high quality of service when organizing medical assistance.
Respond inbound and outbound telephone / e-mail Customer / Partners inquiries and ensure call quality monitoring
Claims evaluation and processing activities such as checking policy, eligibility, claims creation in the system, follow up upon ongoing claims ensuring the requested turn around time and processing of claims and other tasks related to claims management
Assist callers on claims process / procedure / network inquiries, explaining policy terms & conditions
Accommodates Business Units / Travel / TPA International requests with regards to opening international files, placement of Guarantee of Payment, etc.
Follow the complaints & escalation management process and log in complaints with action & resolution in the system / tools provided by the company
Ensure proper system related tasks as creating files and Service Providers updates on the portal
Record tasks in the productivity file, share with management and ensure reaching the level of productivity assigned
Follow the internal processes and guidelines to ensure reaching the Operational KPIs (Quantity and Quality) and the attendance KPIs
Request feedback in relation to the performed tasks and discuss with Team Leader the monthly scorecard results
Monitor daily activities as per the communicated Service Level Agreement, create reports / statistics / analysis and report any deviation
Attend training sessions as requested and participate in the departmental activities in accordance with the monthly schedule
Attend internal meetings related to the job as per the internal requirements
Behavioral Requirements
Strong negotiation, communication, attention to detail, time management skills
Adherence and punctuality, keep an open channel of communication with colleagues inside / outside the team
Sound knowledge of telephone etiquette
Ability to work independently and maintain focus under pressure
Ability to meet tight deadlines
Ability to work well as part of a team- to exhibit objectivity and be open-minded towards the ideas and views of others, give as well as welcome feedback, contribute to building team spirit, aid others to succeed
Ability to comprehend, capture as well as interpret basic customer information, besides upholding the values of the organization
Ability to follow instructions diligently
Ability to manage difficult customer situations, to respond promptly to the needs of the customer, solicit feedback to improve service, respond to request for service/assistance
Ability to adapt to change, meet the changing demands of the work environment, any delays or other unexpected demands
Ability to treat people with respect under all circumstances, instill trust in others besides upholding the values of the organization
Dependability in taking responsibility for actions taken
Flexible to accommodate changes/addition to duties, make efficient use of resources, and availability as per company requirement
Behavioral Competency
Customer & Market Excellence:
Strive for excellence at every touch point with the customer
Foster state-of-art technical/operational knowledge and strive for continuous simplification
Be the benchmark
Collaborative Leadership:
Empower the team and provide purpose and direction
Develop people, provide feedback and care to employee wellbeing
Collaborate and exchange best practice.
Entrepreneurship:
Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
Take ownership and responsibility
Embrace innovation and a culture that allows to make decisions without fear of retribution.
Trust:
Act with integrity, honor commitments, tell the truth
Foster diversity and inclusiveness
Act transparently and promote corporate social responsibility.
Minimum Requirements
Bachelor\'s degree (preferably MBBS)
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus
Fluency in English is mandatory
Fluency in Arabic (1st), French (2nd) is a plus
Fluency in typing
Legally permitted to work in the country of operations.