Medical Claims Officer

**SUMMARY**The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.**MAIN TASKS**- Manages routine daily claims administration work.- Coordinates work flow & meet deadlines.- Evaluates claims with regards to eligibility.- Takes decisions on high cost and complicated cases based on standard operating procedures.- Handles International Preauthorization cases as required.- Coordinates with international providers for direct billing.- Makes suggestions to improve service.- Increases efficiency, minimizes errors and administration time.**BEHAVIORAL REQUIREMENTS**- Organizational & time management skills.- Excellent team player.- Ability to work well with all levels of internal management and staff, as well as outside clients and users.- Ability to demonstrate sound work ethics.- Show flexibility with excellent interpersonal skills.- The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.- To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.- The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.- Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.**BEHAVIORAL COMPETENCY****Customer & Market Excellence**:- Strive for excellence at every touch point with the customer- Foster state-of-art technical/operational knowledge and strive for continuous simplification- Be the benchmark**Collaborative Leadership**:- Empower the team and provide purpose and direction- Develop people, provide feedback and care to employee wellbeing- Collaborate and exchange best practice.**Entrepreneurship**:- Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure- Take ownership and responsibility- Embrace innovation and a culture that allows to make decisions without fear of retribution.**Trust**:- Act with integrity, honor commitments, tell the truth- Foster diversity and inclusiveness- Act transparently and promote corporate social responsibility.46008 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent46008 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent**MINIMUM REQUIREMENTS**- Bachelor's of Medicine (MBBS) and pharmacy- Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).- Physically fit to carry out duties.- Legally permitted to work in the country of operations.- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skil**Job Level**:- Professional**Location**:- Cairo, EG**Area of Expertise**:- Customer Services & Claims**Unit**:- Allianz Partners**Employing Entity**:- Nextcare Egypt**Job Type**:- Full-Time**Remote Job**:- Hybrid working**Employment Type**:- Permanent**ID**:- 46008**Position Cluster**:- Non-Executive