Claims Reconciliation Officer

7 days ago


القاهرة, Egypt Allianz Partners Full time

XXX

The Claims Reconciliation Officer - will provide quality service to the providers and work closely with the medical claims, the finance, processors, and customer service departments to resolve claims issues, The position reports to the Claims Assistant Manager, The position also requires to coordinate closely with various entities internally and externally

**What you do**
- Handle and support direct communication with the healthcare providers on their rejection ratio and reconciliation review
- Conduct Reconciliation meetings with the Providers as required by the reconciliation process.
- Coordinates work flow & meet deadlines.
- Assist in internal and external audits related to claims and reconciliation.
- Prepare reports and presentations on claims performance and reconciliation outcomes.
- Increases efficiency, minimizes errors and administration time.
- Manages routine daily claims administration work.

**What you bring**
- 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.
- Bachelor’s of Pharmacy
- Minimum of 1-2 years of experience in claims reconciliation, financial analysis, or a similar role.
- Good background in medical reviewing claims and reconciliation rejections with the providers.
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills

**What we offer**

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

67533 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
Great to have you on board. Let's care for tomorrow.

**Job Level**:

- Professional

**Location**:

- Cairo, EG

**Area of Expertise**:

- Customer Services & Claims

**Unit**:

- Allianz Partners

**Employing Entity**:

- Nextcare Egypt

**Job Type**:

- Full-Time

**Remote Job**:

- Hybrid working

**Employment Type**:

- Permanent

**ID**:

- 67533

**Position Cluster**:

- Non-Executive



  • القاهرة, Egypt Allianz Partners Full time

    The Claims Processing Officer evaluates and audits providers’ bills and processes them on the system. He / She performs scan for detection of missing documents and ensures that medical report, prescription /tests /invoices are coherent. **What you do** - Audit and process all kinds of providers’ bills. - Screen claim documents - Ensure that proper...


  • القاهرة, Egypt Allianz Partners Full time

    **Over view** The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards **Main responsbilities/ what to do** Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to...


  • القاهرة, Egypt Allianz Partners Full time

    Claims Management - Tracking Officer is responsible for tracking of all Direct Claims received from the provider according to Nextcare standards. This role has the overall responsibility to ensure NEXtCARE operational standards are achieved with outmost productivity and efficiency. **Key responsibilities/What you do**: - Consistently checks and tracks...

  • Claims Quality

    7 days ago


    القاهرة, Egypt Allianz Partners Full time

    **What you do** - Monitor the quality of all operational transactions. - Analyze inpatient and outpatient medical records using most current International Classification of Diseases (ICD-9/ICD-10),Current Procedural Terminology (CPT), regulatory and contractual requirements, and generally accepted coding practices. - Verify and validate claims documents...


  • القاهرة, Egypt Allianz Partners Full time

    **Over view** The finance accountant officer will enhance follow up with payers for TPA collection, follow up payers account on timely basis and support for the company's local objectives, contributes to the oversight over relevant functional areas and assists in the financial activities within the respective AzP BU. Main Tasks/ what you do Receive the...


  • القاهرة الجديدة, Egypt Eaton Full time

    For our Electrical Sector team in Cairo, we are looking for a motivated and enthusiastic new colleague who comes with an Engineering background, enjoys working with customers, and has analytical mindset, solid communication, prioritization, and organization skills. Based in Egypt, Cairo, the role is reporting into our Regional QESH Manager for the Middle...


  • القاهرة, Egypt Al-Futtaim Full time

    **Job Requisition ID**:167312 Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United A”rab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more...

  • Ap Accountant

    18 hours ago


    القاهرة, Egypt Giza Systems EG Full time

    Maintain financial records for petty cash and cash-on-hand - Review invoices and checking payment requests - Daily accounting entry on the system and recording invoices - Reconcile GL entries in terms of prepayments, amortizations, advances, and accrued expenses - Prepare journal entries for the local & foreign petty cash and cash-on-hand transactions -...

  • HR Officer

    18 hours ago


    القاهرة الجديدة, Egypt Talents Arena Full time

    **1. Recruitment** 1.4. Manage the onboarding process for new employees, introducing them to departments and staff, providing copies of the employee handbook, company policies, and related professional procedures for acknowledgment. 1.5. Notify company staff about new employee onboarding in accordance with approved mechanisms. **2. Attendance, Leave, and...

  • Accountant

    4 weeks ago


    القاهرة, Egypt FreePL Full time

    At FreePL, you will be an integral part of a small team that is currently on a mission to build something big from the ground-up. You will need to be comfortable with ambiguity and fast pace, have an entrepreneurial mindset, a can-do attitude and will be expected to take ownership of your work and be comfortable making decisions and solving problems...

  • Accountant

    5 days ago


    القاهرة, Egypt Giza Systems EG Full time

    The **Accountant** is responsible for maintaining accurate financial records, managing petty cash, processing invoices, and ensuring compliance with company policies. This role involves reconciling accounts, preparing journal entries, auditing expenses, and assisting with financial reporting. **Key Responsibilities**: **Manage petty cash, cash-on-hand, and...


  • القاهرة, Egypt Bupa Global Full time

    Provider Services Consultant - Temporary **Job Description**: **Provider Services Consultant** **Cairo, Egypt** **A full time role** **Hybrid home and office working options available once signed off - This is not a fully remote working position.** Here you'll be welcomed. We chion diversity and we understand the importance of our people representing...


  • القاهرة الجديدة, Egypt PepsiCo Full time

    Overview: The key purpose of this role is to handle Export Activities. The job holder will collaborate and work in partnership with Warehousing, other Transportation peers and Carriers and enable them to deliver Customer Service Level and Holistic Cost Management. It is expected that the role will require an initial flexibility of approach as processes are...


  • القاهرة الجديدة, Egypt PepsiCo Full time

    Overview: This role is responsible for customer claims handling operations. Scope is inclusive of customer service activities and 3rd Party Logistics operations within the French BU and is key to ensuring claims made by customers are administered correctly and appropriate remedial action taken. The role holder will have to work with warehouse, cost...

  • Accountant

    2 weeks ago


    القاهرة, Egypt Sadeema Full time

    **Sadeema is A leading software development company is seeking to hire an Accountant to join its dynamic team. This is a remote position, with a preference for weekly in-office visits.** **Responsibilities**: **Prepare monthly and annual financial statements.** **Manage general ledger accounts and expenses.** **Prepare financial and analytical...


  • القاهرة, Egypt World Food Programme Full time

    DEADLINE FOR APPLICATIONS 11 September 2024-23:59-GMT+02:00 Eastern European Standard Time (Cairo) ABOUT WFP The World Food Programme is the world’s largest humanitarian organization saving lives in emergencies and using food assistance to build a pathway to peace, stability and prosperity, for people recovering from conflict, disasters and the impact...

  • Mcc Hub

    4 weeks ago


    القاهرة, Egypt Allianz Partners Full time

    The **Assistant Manager** is responsible for managing the functions of Medical Services **( Inpatient, Outpatient & Retrospective Review)** while ensuring that departmental goals, timeline of activities, and compliance measures are met. **What you Do**: - Manage and organize the team ensuring optimum deployment of resources & reporting to the...

  • General Accountant

    4 days ago


    القاهرة, Egypt Expleo Full time

    Overview: **Responsibilities**: - Responsible for bookkeeping monthly files - Responsible for posting in GL on SAP - Bank Accounts Reconciliation - Responsible for A/R & A/P - Creation of payments checks & wireless transfers - Handling petty cash all currencies - Reports on daily, monthly & annual basis LI-KA1 Qualifications: - Bachelor degree in...

  • Accounting Manager

    4 weeks ago


    القاهرة, Egypt Ethics HR Full time

    Lead and develop the Accounting team. - Set stretch goals and objectives for the team that drives increased value and efficiency in initiating and implementing cost savings and process improvement projects. - Manage and oversee the daily operations of the accounting department including: - Month and end-year process. - Accounts payable/receivable. - Cash...


  • القاهرة, Egypt Nestle Operational Services Worldwide SA Full time

    Location: Cairo, Egypt Company: Nestlé Full-time *** Joining Nestlé means you are joining the largest food and Beverage Company in the world. At our very core, we are a human environment - passionate people driven by the purpose of enhancing the quality of life and contributing to a healthier future. You will Conduct and provide collection analytics for...