Officer MCC

3 months ago

Cairo, Egypt Allianz Partners egypt Full time
  • Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions.
  • Channels claims officers in handling difficult medical cases and optimize the quality and quantity output.
  • Checks particular treatment plan is necessary for the patient.
  • Refers for a second opinion for cases where there is doubt in treatment plan.
  • Provides clients an understanding of any declined medical claims.
  • Maintains daily productivity targets and service levels.
  • Manages routine daily claims administration work.
  • Coordinates work flow & meet deadlines.

Behavioral Requirements

  • Strong verbal and written communication skills.
  • Show flexibility, excellent interpersonal skills.
  • Team Player.
  • Attention to detail and quality.
  • Ability to work well with all levels of internal management and staff, as well as outside clients and users.
  • Ability to train other staff.
  • The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
  • 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.

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