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- Allianz PartnersCairo·
- Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set…
- View all Allianz Partners jobs - القاهرة jobs - Medical Officer jobs in Cairo
- Salary Search: Medical claims Officer - Pharmacist only salaries in Cairo
- See popular questions & answers about Allianz Partners
- MulticareNew Cairo·
- Organize all solid forms production activities in line with finite production schedule while assuring quality and quantity delivery in due time as per required…
- Axios InternationalDokkiTypically responds within 1 dayEmployerActive 5 days ago·
- Axios is seeking Patient Support Program Pharmacist to coordinate patient applications.
- These roles offer an opportunity to interact with patients, collaborate…
- View all Axios International jobs - الدقي jobs - Pharmacist jobs in Dokki
- Salary Search: Pharmacist (Egypt) salaries
- ACMLAlexandria·
- Bsc. in pharmacy or any equivalent department.
- Have the ability of analyzing and making reports.
- Have the ability make the proper researches for the team and…
- View all ACML jobs - الإسكندرية jobs
- Salary Search: Pharmacist salaries in Alexandria
- Pearla Pharmمصر·
- Visiting and making presentation to doctors, pharmacists and hospital medical teams.
- Compensation: Highly competitive package; Car allowance policy; Social…
- View all Pearla Pharm jobs - مصر jobs - Medical Representative jobs in مصر
- Salary Search: Medical Representatives salaries in مصر
- SanofiCairo·
- Travel required as per business need.
- Lead and manage the implementation and maintenance of the Country Quality system across Country organization, embarking…
- View all Sanofi jobs - القاهرة jobs
- Salary Search: Affiliate Quality Head salaries
- See popular questions & answers about Sanofi
- WadiElneel HospitalNasr City·
- 1-Provide medicine to all in &outpatients and reviewing doses and usage instructions 2- Prepare daily inpatients doses (every 24 hours) 3- Review patients files…
- View all WadiElneel Hospital jobs - مدينة نصر jobs - Pharmacist jobs in Nasr City
- Salary Search: pharmacists salaries in Nasr City
- See popular questions & answers about WadiElneel Hospital
- Vitabiotics EgyptAlexandria·
- Effectively Operate the production process under GMP to ensure high-quality products, and to ensure the efficiency of utilizing the resources used, to achieve…
- Takeda PharmaceuticalCairo·
- Support Egypt General Manager in specific legal projects, Inspections and variations related to Scientific office and act as responsible pharmacist for medical…
View similar jobs with this employerAcinoCairo·- To promote defined Acino products according to campaign briefs and policies and appropriate use of Brand visuals (Detail aid, Brand Reminder, Medical Reference)…
- 0301 Beiersdorf LLCCairo·
- Gather feedback and insights from pharmacists, derms, and retailers.
- Increase the Derma and pharmacist engagement by effectively managing the Medical Rep team…
- View all 0301 Beiersdorf LLC jobs - القاهرة jobs - Country Manager jobs in Cairo
- Salary Search: Country Commercial Manager, Egypt salaries in Cairo
- AstraZenecaCairo·
- Engage healthcare professionals in dialogue about approved indications and product efficacy/safety profiles to support on-label prescribing for appropriate…
View similar jobs with this employerTemco TechnologyGizaEmployerActive 6 days ago·- Develop and maintain strong relationships with doctors, pharmacists, and other key stakeholders.
- The ideal candidate will be responsible for promoting and…
- View all Temco Technology jobs - الجيزة jobs
- Salary Search: Medical Sales Representative salaries in Giza
- AlconNew Cairo·
- Promote and present Alcon’s products to healthcare professionals including doctors, optometrist, nurses and pharmacists within his /her assigned territory and…
- Orchidia Pharmaceutical IndustriesCairo·
- Supervise production pharmacist & production chemist & seniors activities.
- Prepares operational schedules and coordinates manufacturing activities.
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Job Post Details
Medical claims Officer - Pharmacist only
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Job details
Job type
- Permanent
- Full-time
Location
Cairo
Full job description
Summary:
Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team
objectives and targets ensuring company policies and procedures are adhered to.
Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team
objectives and targets ensuring company policies and procedures are adhered to.
What to do
- Assesses approval of medical approvals as well as policy use.
- Channels Medical Claims officers in handling difficult medical cases and optimize the quality and quantity output.
- Monitors daily output on the number of case done and decrease in number of errors committed.
- Provides second opinion for cases where there is doubt in treatment plan.
- 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.
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Provides on job training to team members as necessary.
What you bring
• Strong verbal and written communication skills. • Show flexibility, excellent interpersonal skills.
• Strong verbal and written communication skills. • Show flexibility, excellent interpersonal skills.
- Team Player.
- Attention to detail and quality.
- Ability to work well with all levels of internal management and staff, as well as outside clients and users.
- Ability to train other staff.
- The ability to communicate sensitively and effectively with Precertification department and other departments having regard for the
- Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to
- The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
- Bachelor’s of Pharmacy
- Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
- Physically fit to carry out duties.
What we offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 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.
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 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.
work-life balance.
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulators.
Join us. Let's care for tomorrow.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulators.
Join us. Let's care for tomorrow.
Job Level:
Entry Level
Location:
Cairo, EG
Area of Expertise:
Customer Services & Claims
Unit:
Allianz Partners
Employing Entity:
Nextcare Egypt
Job Type:
Full-Time
Remote Job:
100% on-site
Employment Type:
Permanent
ID:
70622
Position Cluster:
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