What you do
Is responsible for day to day management of a multidisciplinary team of healthcare professionals providing 24/7 support to our international health customers accessing value based healthcare across the globe.
Key responsibilities include:
To support and coordinate the effective placement of Treatment Guarantees to providers 24/7 across the globe, to ensure our customers have access to value based healthcare in a timely manner.
To support and deliver strong clinical leadership and workforce planning in collaboration with global supervisor support group needs.
Ensure strong cost containment for the department aiming to reduce treatment variations and avoidance medical costs.
To act as a point of contact for clinical queries, claims adjudication, customer issue resolution and escalations, ensuring prompt and appropriate resolution for the customer.
To provide coaching and on the job training to all team members to the standards required to perform the function of a Medical Advisor.
Continuous improvement of the Medical team processes, and ensuring best practice processes are utilized within the Medical team.
Effective management of the company’s Medical Services function and team ensuring appropriate liaison with helpline teams, claims function and the client services function as well as with external partner relationships.
Ensuring all Medical team processes are aligned with the customer at the heart of our work and all other relevant business functions.
Support delivery of strong case management for complex and high cost cases including Fraud. Developing guidelines and protocols for the same.
To assist in resolving value based negotiations where cost of treatment and/or quality of treatment provision is under review between Allianz Worldwide Care and a provider, physician or TPA.
To ensure all existing operating service standards are consistently met 24/7 and to devise strategies to improve these in line with transformation objectives.
As the successful candidate for this Team Leader role, you will be able to show:
Experience in the Health Insurance Industry is essential
Clinical experience in hospital / community practice desirable or Management professional qualification
Previous Management Experience of people across remote and flexible locations desirable
Project management or workforce capacity planning background would be advantageous
Ability to work effectively within a global team environment where colleagues are working remotely 24/7.
Strong boundaries in managing sensitive relationships whilst advocating for customers and different and competing stakeholders
Ability to work well in a fast paced and busy commercial environment
Highly motivated & proactive priority management style
Strong communication and interpersonal skills
Excellent leadership qualities & ability to delegate effectively
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.
54724 | Customer Services & Claims | Professional | 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 to shape a better future for our customers and the world around us.
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.
Malaysia
