Medical Claims Officer

**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...

**Responsibilities**: - Conduct a robust and comprehensive auditing function for all health claims assessed by external claims management companies. - Monitor and analyses s of health claims data ensuring alignment with base utilization assumptions and market medical services costs. - Compile and prepare regular MIS reports regarding utilization and Medical...

Claims Service Manager **Job Description**: **Claims Service Manager** **Egypt - Cairo** **Hybrid Working Options** **Full Time** Bupa Global is the worldwide Bupa business. We provide products and services worldwide to people who want access to premium healthcare at home or as they study, live, travel or work abroad. Bupa Global provides international...

**Claims Assessor** **_About Bupa _** Bupa is a leading international healthcare group that provides health insurance and medical subscription products and runs care homes, retirement villages, hospitals, primary care centres and dental clinics around the world. We also provide workplace health services, home healthcare, health assessments and long-term...

Ensure that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment. Ensure that provider’s fees and service items charges coincide with their existing contract price list. Ensure the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing....

We are Allianz Partners. The leader in assistance and insurance solutions in the areas of international health, assistance, automotive, and travel insurance. Allianz Partners is a global family of over 19,000 employees across 78 countries. This role is in the International Health part of the business, which has a number of well-known customer-facing brands...

Arrange regular appointments with doctors and hospital medical teams. - Ability to demonstrate product knowledge so that you can answer queries and provide advice on the products. - Increase customer satisfaction from our products and services provided. - Approach new clients, as well as develop long-term relationships with existing ones - Increase client...

**TITLE**:Finance Officer**TEAM/PROGRAMME**:Egypt CO, Finance Team**LOCATION: Cairo** **GRADE**: 4**CONTRACT LENGTH: 12 Months **CHILD SAFEGUARDING**: Level 3: the post holder will have contact with children and/or young people _either _frequently (e.g. once a week or more) or intensively (e.g. four days in one month or more or overnight) because they work...

**JOB DETAILS**: Allianz Care provides insurance solutions for health, life and disability on a global scale. Our focus is on earning and maintaining client loyalty by providing a global, market leading, level of service and support. We are the international health division of Allianz Partners and part of the Allianz Group. Medical Services...

We are looking for a medical chart auditor to work with us remotely. - Detail orientated - Can accurately identify outliers and inefficiencies in the documentation. - Good written and verbal communication skills in English - Must have the ability to present findings and results effectively. - Must have the ability to multi-task with attention to detail. -...