Medical Claims Officer
5 months ago
**Main Task**
- Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions.
- Checks particular treatment plan is necessary for the patient.
- Refers for a second opinion for cases where there is doubt in treatment plan.
- Maintains daily productivity targets and service levels.
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
46139 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
- ** Main Requirment**:
- High Fluency in Greece language
- Fluent English.
- Medical background (Physician, Pharmacist, Dentist etc.) is preferred but not a must.
- Results driven and solution oriented, ability to prioritize workload and manage time effectively
- High attention to detail and accuracy, with focus on high quality outputs
- Strong communication (verbal & written) and interpersonal skills, including the ability to interact professionally with a diverse group of stakeholders at a senior level
- Demonstrates strong quantitative and analytical skills and aptitude
- Strong computer skills are essential (high level skill with Microsoft Office products to include: PowerPoint/Excel/Word, as well as Outlook)
- Works effectively on own initiative
- Maintains a positive attitude in the face of adversity and competing priorities, ability to work well under pressure
**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**:
- 46139
**Position Cluster**:
- Non-Executive
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