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Precertification Officer at Allianz Global Corporate & Specialty SE

Cairo, Cairo, Egypt -

Full Time

Start Date

Immediate

Expiry Date

10 Jan, 26

Salary

0.0

Posted On

12 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Approvals, Claims Processing, Policy Assessment, Treatment Plan Evaluation, High Cost Claims Assessment, Client Communication, Workflow Coordination, Eligibility Evaluation, MS Office, Internet Navigation

Industry

Financial Services

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 TPA experience a plus). •Legally permitted to work in the country of operations. •Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet 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 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 83037 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Responsibilities

The Precertification Officer assesses and processes medical claims and approvals according to operational standards. They provide feedback on queries and help clients understand declined claims.