Claims Management Processing Officer

؜ - ؜مصر ؜ -

Job details


  • Main Tasks:

  • Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.

  • Ensures that provider's fees and service items charges coincide with their existing contract price list with Nextcare.

  • Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing.

  • Compares data on claims applications.

  • Screens claim documents and process claim adjustment.

  • Ensures Payment Orders are properly created and forwarded accordingly for final releasing, documentation and filing.

  • Ensures adaptability in various work-related tasks to be able to facilitate a multi-tasking role.

  • Ensures that high quality standard of work performance is achieved at all times.

  • Filing/Monitoring

  • Stands as a reference person for information on inquiries concerning claims processing procedures.

  • Monitors correct application of beneficiary share accordingly on service items billed.

  • Makes sure that claims are properly technically audited of all data entered with accurate medical claims details.

  • Notes all discrepancies during the course of the system process are properly forwards and notifies to immediate supervisors.


Other Duties
* Researches claims as needed
* Performs other related duties incidental to the work described herein.
* Minimum Requirments :
* Bachelor's Degree; ( Science ) Paramedical background preferred.
* ‎2+ years filing/documentation experience. Experience within the Health Care Industry, TPA's, insurance companies, Hospitals, Medical Centers 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.


Job Level:
Professional
Location:
EG
Available until:
‎30/‎06/‎2023
Area of Expertise:
Operations
Unit:
Allianz Partners
Employing Entity:
Nextcare Egypt
Job Type:
Full-Time
Remote Job:
Not applicable
Employment Type:
Permanent
ID:
‎26964

Job Summary

  • Advertiser: Allianz
  • Announcement date: 10/05/2023
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Salary: -
  • Phone number: -

More jobs like this

مصر
01/05/2023

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 busines…

جدة
17/04/2023

#### **Job Description** Role Purpose: Provider Capability Compliance is a key enabler in order to achieve Bupa Arabia vision. The position plays an important role in driving the execution of identified key projects that supports the Provider Capability Compliance enabler and other key business pri…

الإمارات
02/06/2022

**Role Purpose:** The role of Claims Officer involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different…

الإمارات
15/03/2023

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 busines…

Port Said
17/03/2023

SCCT is strategically located at the mouth of the Suez Canal - offering zero deviation from one of the busiest shipping lanes in the world - and creating unique access to key markets in the East Mediterranean s, SCCT is capable of handling the largest containerships in the global container . We off…

الكويت
01/11/2023

**Date:** 31 Oct 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

الكويت
14/11/2023

**Date:** 29 Nov 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

الكويت
02/12/2023

**Date:** 28 Dec 2023 **Location:** KW **Company:** Alghanim Industries Long Description Job Summary Responsible for registering, processing, and investigating received insurance claims and determining the coverage. Job Responsibilities Registering & acknowledging of rec…

مصر
08/02/2023

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 busines…

مصر
19/03/2023

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 busines…

اللغة: العربيّة