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

Senior Medical Claims Officer provides quality service to clients, promptly and effectively assesses and processes 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.

Key responsibilities / What you 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 cases done and decrease in number of errors committed. Provides second opinion for cases where there is doubt in treatment plan. Decides approvals as per policy conditions. Assesses high-cost claims and provides 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. Ability to leverage AI for optimizing workflow and reducing errors in claims management. Manages routine daily claims administration work. Coordinates workflow and meets deadlines. Provides on-the-job training to team members, as necessary. Key requirements / What you bring: Bachelor of Medicine. 2+ years medical practical experience (reputable insurance provider, broker or a TPA experience a plus). Physically fit to carry out duties. 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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