Job description / Role Job Type
Full Time Job Location
Egypt Nationality
Any Nationality Salary
Not Specified Gender
Not Specified Arabic Fluency
Not Specified Job Function
Healthcare Company Industry
Insurance About us

We are Allianz Partners, the leader in assistance and insurance solutions in the areas of international health, assistance, automotive, and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the business, which has several well-known customer-facing brands such as Allianz Care, Nextcare, and Medi24.

The International Health line of business provides international health, life, and disability insurance and services, reinsurance, and administration services to a wide range of customers. These include multinational companies, intergovernmental organizations (IGOs), non-governmental organizations (NGOs), private individuals, families, and students. Our mission is to ensure that customers have access to quality healthcare through our support, care, and commitment to go the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment, and value for our customers.

Summary

The precertification officer provides quality service to clients, promptly and effectively assesses and processes claims and approvals according to operations set standards.

Main tasks Assesses medical approvals as well as policy use. Checks if a particular treatment plan is necessary for the patient. Inputs verbal and written claims approvals regularly. Decides approvals as per policy conditions. Assesses high-cost claims and provides decisions on high-cost and complicated cases. Provides clear feedback on queries from the call centre team. Provides clients with an understanding of any declined medical claims. Coordinates workflow and meets deadlines. Evaluates claims with regards to eligibility. Behavioral requirements Strong verbal and written communication skills. Shows flexibility and 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 claims department and other departments, having regard for the strict need for confidentiality. Experience 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 initiative and work flexibly under pressure and to tight deadlines. Behavioral competency

Customer & market excellence:

Strive for excellence at every touchpoint with the customer. Foster state-of-the-art technical and operational knowledge and strive for continuous simplification. Be the benchmark.

Collaborative leadership:

Empower the team and provide purpose and direction. Develop people, provide feedback, and care for employee wellbeing. Collaborate and exchange best practices.

Entrepreneurship:

Act on opportunities, anticipate trends, take risks, and promote a culture that allows for honest failure. Take ownership and responsibility. Embrace innovation and a culture that allows making decisions without fear of retribution.

Trust:

Act with integrity, honor commitments, and tell the truth. Foster diversity and inclusiveness. Act transparently and promote corporate social responsibility. Minimum requirements Bachelor of Medicine and Pharmacy. 2+ years medical practical experience (reputable insurance provider, broker, or TPA experience is 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. About the Company

With over 159,000 employees from 172 nationalities across more than 70 countries, we are one of the world's most trusted insurance and asset management companies. We offer a broad range of products and services in property/casualty insurance, life/health insurance, and asset management. We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!

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