Claims Processing Officer

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...

**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...

**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...

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...

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...

Location: Cairo, Egypt In fast changing markets, customers worldwide rely on Thales. Thales is a business where brilliant people from all over the world come together to share ideas and inspire each other. In aerospace, transportation, defence, security and space, our architects design innovative solutions that make our tomorrow's possible. Thales has...

**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...

**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...

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...

**Data Processing Manager** **Purpose of the Job** This position main role is to ensure the accuracy, quality, and quantity of the data recorded from the various forms of each program to Coptic Orphans database system in a timely manner, and in compliance with the organization's global policy and manuals. Ensuring that the translation of all letters reach...

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...

**Business Process Analyst** **Purpose of the Job** The BPA is responsible for analyzing, documenting, and optimizing Coptic Orphan's business processes to ensure their efficiency, effectiveness, and alignment with the organization's strategic objectives by developing performance metrics, analyzing data, and providing actionable insights that drive...

Requisition ID: 42728 - Location: Caire, EG **ENGIE is a global reference in low-carbon energy and services. Together with our 170,000 employees, our customers, partners and stakeholders, we are committed to accelerate the transition towards a carbon-neutral world, through reduced energy consumption and more environmentally-friendly solutions. Inspired by...

**Job Description Summary**: This position acts as the first point of interface, providing Contract Management functional support to Grid Solutions Business for the HVDC, ACS and FACTS Projects in Egypt and MEA Region. It largely composes Contract Management thru the OTR- Project Cycle from Project/s Award to Closeout, with occasional support to Commercial...

**Job Description Summary**: This position acts as the first point of interface, providing Contract Management functional support to Grid Solutions Business for the HVDC, ACS and FACTS Projects in Egypt and MEA Region. It largely composes Contract Management thru the OTR- Project Cycle from Project/s Award to Closeout, with occasional support to Commercial...

**Who Are We❓**: Welcome to the world of Mrsool! Where on-demand delivery meets unparalleled user needs to deliver anything you desire. As one of the largest delivery platforms in the Middle East and North Africa (MENA) region, Mrsool has captivated users with its unique and seamless experience, earning it the highest ratings among all major delivery...

**Join our Team**: **About this opportunity** We are now looking for Front Office Manager to be responsible for overall execution of the new Operation Models, transform NOC operations towards agile automated delivery, having multi-technology, multivendor knowledge and end-to end understanding of the Network Operation Centre Processes. As a main...

**Votre rôle**: We are looking for motivated senior experienced profile with an agile experience who would like to join this transversal area of business and share its goals and challenges, to be fit for the future and addressing the success of the operational entities, through specific focused functions that are enabling and supporting the transformation...

**Key responsibilities/What you do** Working with the Global Claims Function, you will be responsible for the identification, investigation and remediation of Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers. Your expertise will be instrumental in enhancing our fraud prevention and detection...

**Job Summary**: The Operational Officer is responsible for ensuring efficient day-to-day business operations by overseeing workflows, coordinating between departments, and optimizing processes. This role involves monitoring performance, implementing operational strategies, and ensuring compliance with company policies and industry standards. **Key...