Medical Claims Officer, Allianz

Medical Claims Officer

Allianz

Location:
Egypt, Cairo

Category:
Insurance

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

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. Multi-tasking of daily assigned workload as well as ad hoc assignments and follow up on individual cases. Develop extensive and sound product knowledge to provide timely and accurate information to our clients. Responsible for providing outstanding customer service to clients and ensuring customer satisfaction and retention.

Job Responsibility:

Claims Pre-certification and Adjudication with compliance to established Policy Guidelines
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
Multi-tasking of daily assigned workload as well as ad hoc assignments and follow up on individual cases
Develop extensive and sound product knowledge to provide timely and accurate information to our clients
Responsible for providing outstanding customer service to clients and ensuring customer satisfaction and retention

Requirements:

Bachelor’s of Medicine (MBBS)
Medical 1 year Practical Experience in UAE claims, DRG claims and coding skills
Legally permitted to work in the country of operations
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

Nice to have:

reputable insurance provider, broker or a TPA experience

Additional Information:

Job Posted:
May 03, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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