Precertification Officer

Allianz

Cairo, Egypt

Posted
Ref: SP864-370

Job description / Role

Job Type
Full Time
Job Location
Cairo, Egypt
Nationality
Any Nationality
Salary
Not Specified
Gender
Not Specified
Arabic Fluency
Not Specified
Job Function
Healthcare
Company Industry
Insurance

Precertification officer

Provides quality service to clients, promptly and effectively assesses and processes 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.
  • Assesses high cost claims and provides 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 workflow and meets 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 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 provide you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

    About Allianz Group

    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.

    At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

    We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

    Great to have you on board. Let's care for tomorrow.

    About the Company

    With over 159,000 employees from 172 nationalities across more than 70 countries, we are one of the world's most trusted insurance and asset management companies. We offer a broad range of products and services in property/casualty insurance, life/health insurance, and asset management. We have our largest operational presence in Europe, and our parent company, Allianz SE, is headquartered in Munich, Germany. From jobs in Actuarial, Business and IT to Inhouse Consulting and Investment Management - your opportunities are endless!

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