Pre-Authorization Nurse

4 hours ago


Makati City, National Capital Region, Philippines Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.) Full time ₱550,000 - ₱850,000 per year

BENEFITS/PERKS

  • Competitive Salary
  • 13th and 14th month salary guaranteed
  • Performance Incentive Plan / Yearly Bonus
  • Retirement Program and Group Life Insurance

KEY RESPONSIBILITIES

Key responsibilities will include, but are not limited to, the following:

  • Preauthorization of in-patient treatment.
  • Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
  • Case management of complex high value cases.
  • Maintain relationships with brokers/clients/providers.
  • Medical claims reviews.
  • Responsibility for Health, Safety and Welfare within team (please refer to the Company`s Safety Statement for full list of responsibilities).
  • Ad hoc duties.

KEY REQUIREMENTS

  • Nursing Graduate and Dentists will be prioritized
  • Clinical Nursing or Dental experience is required.
  • Previous Medical Claims Review experience is an advantage
  • Fluent English- Any other language is a plus.
  • Experience within the insurance industry, ideally in healthcare.
  • Negotiation experience.
  • Strong Knowledge of Microsoft Office (Excel, Word).
  • Can work Onsite in Makati City for the first 6 months, Hybrid after
  • Can work on shifting schedule (weekends and holidays included)

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. And 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, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow.


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