Precertification Officer
Cairo, EGYPT
Job description
Precertification officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
What you do
Assesses approval of medical approvals as well as policy use.
Checks particular treatment plan is necessary for the patient.
Inputs verbal and written claims approvals regularly.
Decides approvals as per policy conditions.
Assess high cost claims and provide decision on high cost and complicated cases.
Provides clear feedback on queries from call Centre team.
Provides clients an understanding of any declined medical claims.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility.
What you bring
Bachelor’s of Medicine\Pharmacy.
2+ years Medical Practical Experience (reputable insurance provider, broker or a TPAexperience a plus).
- Legally permitted to work in the country of operations.
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and generalinternet navigation and research skills.
What we offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and 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 a 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.
78410 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent