Medical claims admin
7 days ago
What you do
- Getting offers from other providers based on the benchmark that the doctor reached with the original provider.
- Drafting and sending a mail with the original provider cost and alternatives to be sent to the concerned team for each policy for case management approval.
- Arranging the process after receiving the provider choice from the concerned department.
- Following up with the provider that the surgery has been done and making sure that the invoice was closed with the agreed amount.
- Following up pending cases and closing finished cases in the case management log sheet.
- Calculating savings on monthly basis
What you bring
- Verbal and written communication skills.
- Customer service experience in a the medical field
- Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus)
- Knowledge of overall insurance industry practices is a plus; the ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
- Strong negotiations and presentation 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.
82996 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
-
Medical Claims Processor
7 days ago
New Cairo, Cairo, Egypt AlRabat Business Group Full time 120,000 - 180,000 per yearCompany DescriptionAlRabat Business Group is a professional organization dedicated to fostering growth and innovation across various sectors. With a focus on collaboration and excellence, AlRabat strives to deliver high-quality services and solutions to its clients. Located in New Cairo, the group continues to evolve, with a commitment to continuous...
-
Medical claims officer
7 days ago
Cairo, Cairo, Egypt Allianz Insurance Full time 80,000 - 120,000 per yearThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What you do Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to eligibility. Apply nextcare cost...
-
Medical Claims Officer
7 days ago
Cairo, Cairo, Egypt Allianz Partners Full time 90,000 - 120,000 per yearThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What You DoManages routine daily claims administration work.Coordinates work flow & meet deadlines.Evaluates OP claims with regards to eligibility.Apply nextcare cost containment protocols for OP...
-
Medical claims officer
7 days ago
Cairo, Cairo, Egypt AZGROUPPROD Full time 30,000 - 60,000 per yearThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What you do Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to eligibility. Apply nextcare cost...
-
Medical claims officer
1 day ago
Cairo, Cairo, Egypt AZGROUPPROD Full timeThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What you do Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to eligibility. Apply nextcare cost...
-
Senior Medical Claims Officer
7 days ago
Cairo, Cairo, Egypt Nextcare Full time 120,000 - 240,000 per yearDescriptionSenior Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies...
-
Senior Medical Claims Officer
1 day ago
Cairo, Cairo, Egypt AZGROUPPROD Full timeDescription:Senior Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies...
-
Medical Claims Officer
7 days ago
Cairo, Cairo, Egypt AZGROUPPROD Full time 30,000 - 60,000 per yearThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What you do Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates OP claims with regards to eligibility. Apply nextcare cost...
-
Medical Claims Officer
7 days ago
Cairo, Cairo, Egypt Nextcare Full time 30,000 - 60,000 per yearThe Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What You DoManages routine daily claims administration work.Coordinates work flow & meet deadlines.Evaluates OP claims with regards to eligibility.Apply nextcare cost containment protocols for...
-
Claims Senior Officer
7 days ago
Cairo, Cairo, Egypt Allianz Insurance Full time 120,000 - 240,000 per yearDescription:Senior Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies...
