Medical Claims Officer, Allianz

Allianz

Location:
Egypt, Cairo

Category:
Customer Service

Contract Type:
Employment contract

Salary:

Not provided

Save Job

Apply Position

Job Description:

Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to.

Job Responsibility:

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

Requirements:

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

What we offer:

Large variety of courses and targeted development programs
International mobility and career progression
Work Well programs
Health and wellbeing priority
Flexibility in planning and arranging for a better work-life balance

Additional Information:

Job Posted:
May 05, 2025

Employment Type:

Fulltime

Work Type:

On-site work

View All Jobs In This Company

Job Link Share:

Medical Claims Officer