Claims Audit Officer

7 days ago

Qesm El Maadi Cairo, Egypt AXON Healthtech Full time 30,000 - 35,000 per year


We're Hiring –

Claims Audit Officer


Location:
Maadi, Cairo, Egypt


Company:
Axon HealthTech


Employment Type:
Full-Time

About Axon HealthTech

Axon is one of Egypt's fastest-growing HealthTech companies, pioneering digital healthcare services such as third-party administration (TPA), medical discount programs (Axon Plus), and corporate wellness solutions. We serve both insured and uninsured populations through innovative, tech-enabled platforms that improve healthcare access, affordability, and efficiency.

Position Overview:

The Claims Audit Officer is responsible for overseeing the review and audit of medical claims to ensure compliance with company policies, medical guidelines, and regulatory standards. The role plays a key part in identifying errors, preventing fraud, and ensuring fair and accurate claim settlements while maintaining high service quality and customer satisfaction.

Key Responsibilities:


• Review and audit medical claims to ensure accuracy and compliance with internal policies and external regulations.


• Identify discrepancies, errors, or potential fraud in claim submissions.


• Provide feedback and recommendations to the claims processing team to improve accuracy and efficiency.


• Prepare regular audit reports and share findings with management.


• Collaborate with medical, legal, and compliance teams to resolve complex cases.


• Ensure SLA timelines for claim auditing are met.


• Support in training junior claims officers and sharing best practices.


• Contribute to the development and update of auditing policies and procedures.

Required Qualifications:

  • Bachelor's degree in
    Pharmacy
    or
    Medicine
    (required).
  • Previous experience in medical claims auditing, medical coding, or healthcare insurance is preferred.
  • Strong understanding of medical terminology, treatment protocols, and insurance guidelines.
  • Excellent analytical skills with high attention to detail and accuracy.
  • Solid knowledge of medical claims processes, fraud detection techniques, and regulatory compliance.
  • Ability to review and interpret medical reports, invoices, and supporting documents.
  • Proficiency in MS Office applications (especially Excel).
  • Strong communication and reporting skills.
  • Ability to work under pressure and meet strict deadlines.
  • Strong problem-solving skills with the ability to handle complex cases professionally.

Why Join Axon?

  • Work on impactful healthcare solutions that improve lives.
  • Be part of a rapidly growing company with strong growth opportunities.
  • Competitive salary and performance-based incentives.
  • Flexible and collaborative work environment.
  • Health and social insurance coverage.
  • Exposure to leadership, innovation, and decision-making in healthtech.

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