Officer MCC

2 weeks ago

Cairo, Cairo, Egypt Allianz Partners egypt Full time
  • Evaluates medical claims from technical and medical perspectives as per policy terms and conditions.
  • Guides claims officers in handling complex medical cases to optimize output quality and quantity.
  • Verifies the necessity of specific treatment plans for patients.
  • Suggests seeking a second opinion for cases where treatment plans are uncertain.
  • Offers clients insights into any denied medical claims.
  • Maintains daily productivity goals and service standards.
  • Oversees routine daily claims processing tasks.
  • Coordinates workflow to meet deadlines.

Behavioral Expectations

  • Demonstrates strong verbal and written communication abilities.
  • Displays adaptability and exceptional interpersonal skills.
  • Collaborates effectively within a team.
  • Pays attention to detail and emphasizes quality.
  • Works effectively with various levels of internal management, staff, clients, and users.
  • Has the capacity to provide training to other team members.
  • Communicates sensitively and efficiently with the claims department while maintaining confidentiality.
  • Possesses experience in interacting with senior management, understanding the importance of courteous behavior, and working cooperatively with others.

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