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Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Evaluates OP claims with regards to eligibility.
- Apply nextcare cost containment protocols for OP claims at the retrospective review level
- Attends calls and e-mails from insurance companies, clients, and providers.
- Makes suggestions to improve service.
- Increases efficiency, minimizes errors and administration time.
Desired Candidate Profile
Bachelor s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
- Medical Practical Experience (reputable insurance provider, broker or a TPA experience aplus) OR Entry Level
- Physically fit to carry out duties.
- Certified Medical Coder [Preferable]
- Legally permitted to work in the country of operations.
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and generalinternet navigation and research skills
- Organizational & time management skills.
- Excellent team player.
- Ability to work well with all levels of internal management and staff, aswell as outside clients and users.
- Ability to demonstrate sound work ethics.
- Show flexibility with excellent interpersonal skills.
- The ability to communicate sensitively and effectively with claimsdepartment and other departments having regard for the strict need forconfidentiality.
- To be capable of responding diplomatically to pressures and problemsshowing a calm approach to working towards deadlines and alwaysable to show an innovative and creative approach to work.
- The ability to exercise initiatives and be able to work flexibly underpressure and to tight deadlines.
- Experience of working with senior managers and understanding thenecessity to act in a pleasant and courteous manner and to be able towork effectively with others.
Company Industry
- Insurance
Department / Functional Area
- Doctor
- Nurse
- Paramedics
- Hospital Technicians
- Medical Research
Keywords
- Medical Claims Officer
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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. 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. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.