Medical Claims Officer

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 a number of 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 organisations (IGOs), non-governmental organisations (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 customer.
* Main Tasks :
* Manages routine daily claims administration work.
* Coordinates work flow & meet deadlines.
* Evaluates claims with regards to eligibility.
* Takes decisions on high cost and complicated cases based on standard operating procedures.
* Handles International Preauthorization cases as required.
* Attends calls and e-mails from insurance companies, clients, and providers.
* Coordinates with international providers for direct billing.
* Makes suggestions to improve service.
* Increases efficiency, minimizes errors and administration time.
* Behavioral Requirments :
* Organizational & time management skills.
* Excellent team player.
* Ability to work well with all levels of internal management and staff, as well 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 claims department and other departments having regard for the strict need for confidentiality.
* To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
* The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
* 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.
* Minimum Requirments
* Bachelor's of Medicine (MBBS)
* Medical ‎1 year Practical Experience (reputable insurance provider, broker or a TPA experience 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

Job Level:
Professional
Location:
EG
Available until:
‎12/‎03/‎2023
Area of Expertise:
Customer Services & Claims
Unit:
Allianz Partners
Employing Entity:
Nextcare Egypt
Job Type:
Full-Time
Remote Job:
Not applicable
Employment Type:
Permanent
ID:
‎22781