Send me Jobs like this
Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
What you do
Assesses approval of medical approvals as well as policy use.
Checks particular treatment plan is necessary for the patient.
Inputs verbal and written claims approvals regularly.
Decides approvals as per policy conditions.
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.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility.
What you bring
Bachelor s of MedicinePharmacy.
2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
Company Industry
- Insurance
Department / Functional Area
- Administration
Keywords
- Precertification 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