What you do

Assess and process precertification requests and claims against medical and policy criteria, deciding on eligibility and required approvals within agreed timeframes.
Handle incoming calls and emails from healthcare providers and internal teams, clarifying medical information and explaining coverage or decisions in a professional, confidential manner.
Coordinate daily workflow with colleagues and other departments to meet deadlines, reduce errors, and maintain high service levels in a 24/7, shift‑based operation.
Identify and report issues, errors, or unusual cases, suggesting practical improvements to processes, tools, and ways of working.
Maintain accurate, complete records in our systems and follow operational standards, guidelines and regulatory requirements at all times.
Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insight responsibly and in line with our standards for data governance, security and ethical use.

What you bring

Bachelor’s degree in Anesthesia and Intensive Care (or closely related), with at least 2 years of clinical experience, so you can understand and assess medical information and treatment plans with confidence.
1+ year of claims or precertification experience in an insurance or TPA environment, with a clear understanding of how policy terms, benefits and exclusions apply in practice.
Strong verbal and written communication skills in French, English and Arabic, with the ability to manage confidential and sometimes sensitive discussions with providers and internal stakeholders.
Proven ability to stay accurate and organised under pressure and to tight deadlines, including in shift work, while maintaining attention to detail and high quality standards.
Solid MS Office skills (Excel, Word, Outlook, PowerPoint) and comfortable using multiple systems and online tools to research, document and process cases.
A collaborative, service‑focused approach: able to work effectively with senior managers, peers and external partners, respond diplomatically to problems, and contribute positively to team culture.

How we hire

We hire directly. 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 submissions will not be considered.

At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.

1 Job for Medical Assessment in Tunisia

Customer Operations - Precertification F/M