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Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
KEY RESPONSIBILITIES/what you do:
. Claims Pre-certification and Adjudication with compliance to established Policy Guidelines as well as managing & providing overall guidance about Medical Cases review & authorization over Phone.
. Responding to queries regarding cover, claims, hospitalization, complaints
. Commit to the department`s service standards across phone, email, live chat, and customer experience metrics such as customer satisfaction and NPS. case
. se AI insights to empower the team, providing purpose and direction while fostering a collaborative environment.
. Develop extensive and sound product knowledge to provide timely and accurate information to our clients.
. Utilize AI-driven feedback mechanisms to develop people, provide constructive feedback, and care for employee wellbeing.
Customer & Market Excellence:
Strive for excellence at every touch point with the customer
Foster state-of-art technical/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 to employee wellbeing
Collaborate and exchange best practice.
Entrepreneurship:
Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
Take ownership and responsibility
Embrace innovation and a culture that allows to make decisions without fear of retribution.
Trust:
Act with integrity, honor commitments, tell the truth
Foster diversity and inclusiveness
Act transparently and promote corporate social responsibility.
Desired Candidate Profile
Medical background is a must. (Veterinary Medicine , Pharmacy , Science etc)
6 months - 3 years of experience.
Experience in a customer facing role is beneficial.
Insurance experience is a plus.
Previous experience in Call Centre environment would be beneficial.
Experience working in pressurized environment with tight deadlines.
Strong Knowledge of Microsoft Office (Excel, Word)
Must be fully flexible to work rotating shift patterns including shift work, nights, and weekend.
Experience in a customer-facing role, ideally with exposure to AI-enhanced service platforms.
Company Industry
- Insurance
Department / Functional Area
- Helpdesk
- Customer Service
- Telecalling
Keywords
- Care Centre Officer- Medical 1 1
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Nextcare Egypt
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.
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