Medical Services Advisor

Job description

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 Division:
Multinational corporations with employees working in remote environments, for example within the mining, construction or oil and gas or for IGO`s who often face challenging conditions when medical assistance is needed. At Allianz Care, we provide medical assistance globally and have growing needs due to recent client wins.

What you do

• Preauthorization of in-patient treatment.
• Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
• Case management of complex high value cases.
• Maintain relationships with brokers/clients/providers.
• Medical claims reviews.
• Responsibility for Health, Safety and Welfare within team (please refer to the Company`s Safety Statement for full list of responsibilities)
• Adapt AI technologies to support various ad hoc duties as needed, enhancing overall operational efficiency.
• Employ conversational AI tools to enhance communication and maintain relationships with brokers, clients, and providers. AI can provide insights for personalized engagement strategies, improving client satisfaction.

What you bring

• Medical / Pharmaceutical qualification.
• Previous clinical experience.
• Flunecy inEnglish is a must.
• Experience within in the insurance industry, ideally in healthcare is a plus.
• Negotiation experience.
• Strong Knowledge of Microsoft Office (Excel, Word).
• Candidates need to be eligible to work in Egypt without any restrictions.