Claims Management Coordinator

2 weeks ago

Doha, Baladīyat ad Dawḩah, Qatar Allianz Partners Full time

SUMMARY


Claims Management - Coordinator is responsible for tracking of Direct received from healthcare providers from various claim sources (Physical Documents from courier/messenger, FTP, E-mail, etc.) according to NEXtCARE standards.

Claims Management Coordinator tasks include Intimation of received claims statement of account versus processed claims records in the system as well Manual Payment Order generation if required and Payment Order releasing and delivery to Finance or to the respective insurance companies for prompt payment and settlement.


MAIN TASKS
Consistently checks and tracks claims received from providers which includes the following responsibilities:
Checks claim submission for proper completion.

Intimation of physical claims versus the statement of account.

Ensures that direct claims submitted by healthcare providers are sorted and segregated per payer.

Ensures that standard format for submission is followed such as general statement of account and detailed statement of account.

Scanning of physical claim documents (Claim Forms, Medical Reports, invoices, etc.).

Archiving of scanned claim documents and FTP Folders.


Ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed by the provider.

Accurate creation of claims batches according to archived and physical claim documents.

Ensures that all claim batches are routed accordingly to next function users (Claims Processing, Medical Review, OFR/Audit)


Ensures that all validated claim batches are created inside the payment order for releasing and delivery to finance and respective insurance companies within the set KPI and NEXtCARE standards.

Ensures that returned Payment Orders for re-evaluation are recorded and endorsed to the concerned department.

Ensures proper documentation, feedback, and endorsement on the following:

Missing information on the claim and standard format of submission are not followed for Network Operations to contact the providers.

Claims with incomplete administrative information to be returned to the provider.

BEHAVIORAL REQUIREMENTS

  • Attention to detail and ability of multitask.
  • Organizational & time management skills.
  • Excellent team player.
  • Ability to meet tight deadlines.
  • Ability to work under pressure to tight deadlines.
  • Strong communication skills.
  • Ability to work well with all levels of internal management and staff, as well as outside clients and users.
  • Ability to demonstrate sounds work ethics.
  • Show flexibility with excellent interpersonal skills.
  • Flexible to work in shifting schedule.
  • Demonstrate commitment to produce output base results.
  • Ability to clearly communicate concepts verbally and in written form is a mandatory requirement for this position.
  • Demonstrable commitment to producing outputbased results.

BEHAVIORAL COMPETENCY

Customer & Market Excellence:

  • Strive for excellence at every touch point with the customer
  • Foster stateofart 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; Paramedical background preferred.
  • 2+ years filing/documentation experience. Experience within the Health Care Industry, TPA's, insurance companies, Hospitals, Medical Centers is a plus.
  • Physically fit to carry out duties.
  • Physically fit to carry out duties.
  • Legally permitted to work in the country of operations.
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
- .

41210 | Operations | Entry Level | Non-Executive | Allianz Partners | Full-Time | Permanent

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.

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.

Join us. Let's care for tomorrow.

Note:
Diversity of minds is an int

  • Claims Management Coordinator

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Allianz Full time

    Claims Management CoordinatorSUMMARY Claims Management - Coordinator is responsible for tracking of Direct received from healthcare providers from various claim sources (Physical Documents from courier/messenger, FTP, E-mail, etc.) according to NEXtCARE standards. Claims Management Coordinator tasks include Intimation of received claims statement of account...

  • Claims and Contracts Manager

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Integrated Project Management Company Full time

    1.Comprehensive Oversight: Oversee the entire claims and contracts management process, ensuring adherence to policies and procedures. Maintain a comprehensive understanding of all ongoing and upcoming contracts, utilizing a high ability to analyze contracts and find weaknesses, proposing effective solutions.2.Negotiation and Dispute Resolution: Negotiate and...

  • Claims and Contracts Engineer

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Integrated Project Management Company Full time

    1.Claims and Contracts Support: Provide support in claims and contracts management processes. Analyze project documentation to ensure contractual compliance, with a high ability to analyze contracts and find weaknesses and propose solutions.2.Collaboration with Legal Teams: Collaborate with legal and project teams to address contractual issues. Assist in...

  • Claims Leader

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar ANOTECH Full time

    Support the delivery of the Commercial management plan for the Onshore Project. Responsible for providing technical, commercial and functional direction related to all aspects of overall Claims Avoidance and Management, including the formulation and administration of strategies, associated governance, claims register, internal position papers, Company...

  • Claims Leader

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Applus+ Full time

    Support the delivery of the Commercial management plan for the NFXP Onshore Project. Responsible for providing technical, commercial and functional direction related to all aspects of overall Claims Avoidance and Management, including the formulation and administration of strategies, associated governance, claims register, internal position papers, Company...

  • Claims Quantum Analyst

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Integrated Project Management Company Full time

    1.Quantitative Analysis Support: Assist in the quantitative analysis of claims and disputes, with a focus on constructionrelated claims and variations. Prepare detailed financial models for assessing and valuing claims, adhering to international standards like ICE CESMM and RICS NRM.2.Collaboration with Legal and Financial Teams: Collaborate with legal and...

  • Claims Officer

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Nakilat Full time

    Select how often (in days) to receive an alert: Create Alert Monitor and timely process claims related to Nakilat's commercially managed fleet, collaborate and align with all related stakeholders internally to get the best possible outcomes via the charterparty terms and/or support in negotiations with the relevant counterparties. Accountabilities1. Build a...

  • Claims Officer

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Precision Hire Solution Full time

    Job Summary and Purpose Monitor and timely process claims related to Nakilats commercially managed fleet collaborate and align with all related stakeholders internally to get the best possible outcomes via the charterparty terms and/or support in negotiations with the relevant counterparties. Accountabilities Core Accountabilities:1. Build a wellestablished...

  • Claims Leader

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Applus+ Full time

    Support the delivery ofthe Commercial management plan for the NFXP Onshore Project.Responsible for providing technical, commercial and functionaldirection related to all aspects of overall Claims Avoidance andManagement, including the formulation and administration ofstrategies, associated governance, claims register, internalposition papers, Company...

  • Head of Claims Commercial

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar MphExperts Full time

    Support the development and implementation of Post-Award Contract Management Strategies and Scenarios for overall NFXP Onshore delivery management.Support NFXP Onshore Project Management in the evaluation and planning related to claims avoidance and commercial management and prepare material required for stakeholders, including in-depth assessments and...

  • Claims Officer

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Precision Hire Solution Full time

    JobSummary andPurposeMonitor and timely process claims related to Nakilats commerciallymanaged fleet collaborate and align with all related stakeholdersinternally to get the best possible outcomes via the charterpartyterms and/or support in negotiations with the relevantcounterparties.AccountabilitiesCore Accountabilities:1. Build awellestablished knowledge...

  • Head of Claims Commercial

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Brunel Full time

    Responsible for delivering the Commercial management plans for the Onshore Project Contracts. Develop and implement the Claims Avoidance and Management Procedure along with associated commercial management processes and communicate across PMT. Coordinate the development and stewardship of Commercial Plans for the Onshore Project.About this role Support the...

  • Senior Commercial Claims and Quantum Analysis

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Integrated Project Management Company Full time

    1.Leadership in Commercial Claims: Lead commercial claims and quantum analysis efforts for the organization, specializing in construction works and variations using international standards like ICE CESMM and RICS NRM. Provide expert testimony in dispute resolution proceedings.- strong experience in preparation and negotiation of quantum claims (prolongation...

  • Lead of Claims

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar NES FIRCROFT Full time

    BH-263293Posted: 10/03/2024 Competitive Qatar Doha Contract Oil & GasJob Purpose Support the delivery of the Commercial management plan for the Project. Responsible for providing technical, commercial and functional direction related to all aspects of overall Claims Avoidance and Management, including the formulation and administration of strategies,...

  • Claims and Complaints Manager

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar qatar insruance group Full time

    Responsiblity:Analyze and investigate complicated insurance claims to help prevent fraud.Perform detailed site inspections.If necessary, provide well-informed court testimonies.Review and process new claims reports and court verdicts.Uphold relationships and communication with insurance departments and clients.Organize and present claim review...

  • Claims Leader

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar ANOTECH Full time

    Support the delivery of theCommercial management plan for the Onshore Project. Responsible forproviding technical, commercial and functional direction related toall aspects of overall Claims Avoidance and Management, includingthe formulation and administration of strategies, associatedgovernance, claims register, internal position papers, Companyposition...

  • Senior Claim Specialist

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar The Highfield Company Full time

    Are you an experienced Claim Specialist seeking a new challenging opportunity working for a leading Engineering & Construction Contractor? Are you looking for an international opportunity based in Qatar? If yes then please forward your CV immediately.Our client is a well-established and leading EPC & Maintenance Contractor who provides services to clients...

  • Head of Claims Commercial N-1208

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Energy Jobline Full time

    Responsible for delivering the Commercial management plans for the NFXP Onshore Project EPC Contracts. Develop and implement the Claims Avoidance and Management Procedure along with associated commercial management processes and communicate across PMT. Coordinate the development and stewardship of Commerical Plans for the NFXP Onshore Project.Responsible for...

  • Claims Leader

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Brunel Qatar Full time

    Support the delivery of theCommercial management plan for the OnshoreProject.Liaise with project team personnel intechnical and functional guidance on contract management. Maintaincontact with other Management personnel and FunctionalManagers.Understands key project drivers andcontext and can provide credible and practical commercialstrategies and plans in a...

  • Contract and Claim Professional

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Siemens Full time

    What are my responsibilities? Preparation/participation and support of project teams in customer negotiations to represent the contractual and legal interests of Siemens including active Claim and Variation ManagementActive support to work with the project manager on the contract and claim strategy.Contract analysis in terms of claim potential and possible...