Allianz

1 month ago

Quality Lead (Dubai, AE)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 18 hours agoStatus: Live

Job Summary

Lead quality assurance for inpatient precertification cases in a 24/7 team, overseeing case adjudication, documentation review, DRG/ICD coding reviews, utilization review, and AI-enabled processes within Allianz Partners environment.

Location: Dubai

Workplace: Onsite

Employment Type: Full time

Job Function: Quality & Regulatory (Non-Software)

Key Responsibilities

•Oversee inpatient precertification, adjudicate cases within policy terms and turnaround times, ensuring high-quality decision making.
•Perform complete file reviews of multidisciplinary notes, lab reports, imaging, and nursing/physician documentation to support decisions.
•Request missing documentation essential to decision making and verify data completeness.
•Review DRG Severity of Illness (SOI) and CPT/ICD codes, discuss any upcoding with treating doctors and coders as needed.
•Conduct utilization review for DRG and FFS cases, including final bill review, consumables markups, non-covered items, and cost containment.

Key Requirements

•Bachelor’s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
•01-02 years of Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
•Legally permitted to work in the country of operations.
•Certified Medical Coder [Preferable]
•Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Education:Bachelor's

Skills:Ms officeCommunication

Certifications:Medical Coder

Languages:English

Company Brief

Allianz

Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.

Industry: Insurance

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Munich, Germany

Founded: 1890

Website LinkedIn

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Allianz

1 month ago

Quality Lead (Dubai, AE)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 18 hours agoStatus: Live

Job Summary

Location: Dubai

Workplace: Onsite

Employment Type: Full time

Job Function: Quality & Regulatory (Non-Software)

Key Responsibilities

•Oversee inpatient precertification, adjudicate cases within policy terms and turnaround times, ensuring high-quality decision making.
•Perform complete file reviews of multidisciplinary notes, lab reports, imaging, and nursing/physician documentation to support decisions.
•Request missing documentation essential to decision making and verify data completeness.
•Review DRG Severity of Illness (SOI) and CPT/ICD codes, discuss any upcoding with treating doctors and coders as needed.
•Conduct utilization review for DRG and FFS cases, including final bill review, consumables markups, non-covered items, and cost containment.

Key Requirements

•Bachelor’s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
•01-02 years of Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
•Legally permitted to work in the country of operations.
•Certified Medical Coder [Preferable]
•Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Education:Bachelor's

Skills:Ms officeCommunication

Certifications:Medical Coder

Languages:English

Company Brief

Allianz

Industry: Insurance

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Munich, Germany

Founded: 1890

Website LinkedIn