Ensure assessment of claims in an efficient and timely manner.
Assess claims according to the company procedures & policies.
Follow claims procedures & philosophy in assessing and responding to various claims queries.
Liaise with customers/beneficiaries & sales force when necessary to obtain additional/missing documents or medical reports and manage the pending caseload in a timely manner.
Liaise with reinsurers when necessary.
Support senior staff in generating necessary claims documents/reports.
Take responsibility for own career development ensuring the understanding of all products, reinsurance treaties, authority limits, and departmental procedures.
Interact with change management team and development team when necessary to test and follow up in any system release or to fix any system errors.
Assist the other department from time to time in order to accommodate workflow in periods of peak business activity and/or broaden their business knowledge and exposure to both areas.
Maintain appropriate soft and hard achieving of claims data.
Perform all other duties assigned by manager
Skills
Degree in Medicine or Pharmacy
Detail Oriented
Time Management skills
Team Worker
Ability to work under pressure and adapt to change
Personal Integrity
Ability to interpret information
Attention to details
Pro-active
Excellent communication skills
Strong customer service skills
Job Details
Job Location
Cairo, Egypt
Job Role
Medical, Healthcare, and Nursing
Preferred Candidate
Career Level
Entry Level
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