Claims Management Tracking Officer
4 days ago
The Claims Management – Tracking Officer is responsible for monitoring all Direct Claims received from providers in line with Nextcare standards. This role ensures that Nextcare's operational standards are met with maximum productivity and efficienc
*Key Responsibilities*
/What You Do
- Regularly review and track claims from providers, including these key duties:
- Verify claim submissions for completeness.
- Confirm adherence to the required submission formats, such as general and detailed statements of account.
- Perform initial checks comparing the count of physical claims received against the statement.
- Provide timely feedback for corrections, missing information, or format discrepancies.
- Organize received claims into batches according to standards and deliver physical claims to the Retrospective team.
- Maintain accurate documentation, feedback, and endorsements for the following:
- Communicate directly with providers if claims lack information or do not follow submission standards; if unreachable, escalate to provider OPS for support.
- Return claims with incomplete administrative details to the provider.
- Direct providers not registered on TATSH to the MPM team for setup
Key Requirements/What You Bring
- Bachelor's Degree.
- 0 to 2 years of management experience preferred in the Healthcare Industry (TPA, insurance companies, hospitals, medical centers, or pharmacies).
- Physically capable of performing assigned duties.
- Legal authorization to work in the country of operation.
- Proficiency in MS Office (Excel, Word, Outlook, PowerPoint) and strong internet navigation and research skills.
- What we offer:
- Our employees are vital to our success, and we value each individual's unique needs and ambitions, supporting their personal and professional growth.
- We empower you to take charge of your development through a wide range of courses and targeted programs, all within a global environment that encourages international mobility and career advancement.
- We prioritize your health and wellbeing by offering Work Well programs that promote peace of mind and provide flexibility to help you achieve a better work-life balance.
Key Benefits/What We Offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.
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.
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
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