Policy Administrator

Policy administrator responsibilities

Policy administrator is accountable for reviewing and maintaining the table of benefits (TOB) by checking the eligibility and exclusions program prior to clients' approvals. This position requires a thorough understanding of medical treatments and the admission process. The individual is responsible for ensuring that clinical and administrative intake services are provided for patients. In addition, they are responsible for creating the products of the policies on the system.

What you do

• Review table of benefits inclusions, exclusions, limits, and sub-limits in order to ensure applicability and adaptability of policy terms and conditions with NEXtCARE system and process or to make the needed modifications in the internal process.
• Apply the TOB terms and exclusions on the MOB by creating the products of the policies on TATSH.
• Manage payers and clients' communications.
• Coordinate with all parties to understand all treatment plans.
• Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics, and cloud-based tools, using insights responsibly with our standards of data governance, security, and ethical use.

What you bring

• Bachelor's degree required (Pharmacy preferred).
• Physically fit to carry out duties.
• Medical insurance background.
• Good skills in Microsoft Office applications (including Word, PowerPoint, Excel, and Outlook) and general internet navigation and research skills.
• Show flexibility, excellent interpersonal skills, and project coordination experience.
• Good communication skills.
• Preferred insurance and medical background.

How we hire

Agency statement: Allianz Partners does not accept unsolicited CVs or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.

What we offer

Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive, and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech, high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel, and Allianz Care.

At Allianz Partners, artificial intelligence (AI) is transforming service delivery and innovation. By leveraging business intelligence and data analytics, we enhance strategic decision-making and customer experiences. Our commitment to ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while emerging technologies and generative AI drive industry leadership and new opportunities. With robust information security management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.

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.

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 nurtures a culture grounded in integrity, fairness, inclusion, and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.

Note: Having different strengths, experiences, perspectives, and approaches is an integral part of Allianz' company culture. One means to achieve this is a regular rotation of Allianz executive employees across functions, Allianz entities, and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.