Precertification Officer Nextcare Egypt

Posted on 22 Oct

Experience

2 - 7 Years

Job Location

Cairo - Egypt

Education

Bachelor of Pharmacy(Pharmacy)

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 we offer

Desired Candidate Profile

What you bring/strong> /p>

/div>
div> Bachelor s of MedicinePharmacy./div>
2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus)./div>
div> Legally permitted to work in the country of operations./div>
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills./div>

Company Industry

  • Insurance

Department / Functional Area

  • Insurance
  • Underwriting
  • Surveying
  • Actuary

Keywords

  • Precertification Officer

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Nextcare Egypt

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey./p>

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance/p>

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. br>We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.br>We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.br>Great to have you on board. Let's care for tomorrow./p>

Read More

https://careers.allianz.com/global/en/job/84217/