لم يعد يتم قبول المزيد من الطلبات لهذه الوظيفة
- Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions.
- Channels claims officers in handling difficult medical cases and optimize the quality and quantity output.
- Checks particular treatment plan is necessary for the patient.
- Refers for a second opinion for cases where there is doubt in treatment plan.
- Provides clients an understanding of any declined medical claims.
- Maintains daily productivity targets and service levels.
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Strong verbal and written communication skills.
- Show flexibility, excellent interpersonal skills.
- Team Player.
- Attention to detail and quality.
- Ability to work well with all levels of internal management and staff, as well as outside clients and users.
- Ability to train other staff.
- The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
- 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.
Officer MCC - Cairo, مصر - Allianz Partners egypt
وصف
Behavioral Requirements