Precertification Officer

1 day ago


مصر, Egypt Allianz Partners Full time

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 such as Allianz Care, Nextcare, and Medi24.

The International Health line of business provides international health, life and disability insurance and services, reinsurance, and administration services to a wide range of customers. These include multinational companies, intergovernmental organizations (IGOs), non-governmental organizations (NGOs), private individuals, families, and students. Our mission is to ensure that customers have access to quality healthcare through our support, care, and commitment to go the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment, and value for our customers.

**Summary**:
The
**Medical Claims Officer** will provide quality service to clients, and promptly and effectively assesses and processes claims and approval according to operations set standards.

**Key Responsibilities**:

- Manages routine daily claims administration work.
- Coordinates workflow & meets deadlines.
- Evaluates claims with regards to eligibility.
- Decisions on high-cost and complicated cases.
- International Preauthorization.
- Coordinates with international providers for direct billing.
- Makes suggestions to improve service.
- Increases efficiency, and minimizes errors and administration time.

**Minimum Requirements**:

- Bachelor degree of Medicine and surgery (MBBS).
- Has minimum 2 years of experience
- Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
- Office location in New Cairo, Cairo, Egypt.