Medical Claims Officer Nextcare Egypt

Employer Active

Posted 18 hrs ago

Experience

1 - 3 Years

Job Location

Cairo - Egypt

Education

Bachelor of Pharmacy(Pharmacy)

Nationality

Any Nationality

Gender

Not Mentioned

Vacancy

1 Vacancy

Job Description

Roles & Responsibilities

What to do

Assesses approval of medical approvals as well as policy use.
Channels Medical Claims officers in handling difficult medical cases and optimize the quality and quantity output.
Monitors daily output on the number of case done and decrease in number of errors committed. Provides second opinion for cases where there is doubt in treatment plan. Assess high cost claims and provide decision on high cost and complicated cases. Provides clear feedback on queries from call Centre team. Provides clients an understanding of any declined medical claims.
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Provides on job training to team members as necessary.

Desired Candidate Profile

What you bring

  • Strong verbal and written communication skills.
  • Show flexibility, excellent interpersonal skills.
  • Team Player.
  • Attention to detail and quality.
  • Ability to work well with all levels of internal management and staff, as well as outside clients and users.
  • Ability to train other staff.
  • The ability to communicate sensitively and effectively with Precertification department and other departments having regard for the strict need for confidentiality.
  • Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.
  • The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
  • Bachelor s of Pharmacy
  • Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
  • Physically fit to carry out duties.

Company Industry

  • Insurance

Department / Functional Area

  • Insurance
  • Underwriting
  • Surveying
  • Actuary

Keywords

  • Medical Claims Officer

Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information. We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at abuse@naukrigulf.com

Nextcare Egypt

https://careers.allianz.com/global/en/job/84300/