Claims Officer- Fluent English
Nextcare EgyptJob Description
Claims Officer- Fluent English
JOB Overview
The role of Claims Officer involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours.
The Claims Officer adjudicates also Medical Providers’ Claims, making sure that services are eligible as per policy terms and conditions, are in correlation with the authorized guarantee of payment given and are paid as per the agreed tariffs with providers.
The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures.
What you do
Key responsibilities
• Adjudicate and process Claims within the agreed company SLA - clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
• Use Allianz Partners client database accurat...
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