Overview

Claims Admin Officer Jobs in Cairo, Egypt at MedNet Egypt L.L.C

Title: Claims Admin Officer

Company: MedNet Egypt L.L.C

Location: Cairo, Egypt

MedNet Egypt is one of the leading managed care service organisations that cater to healthcare needs. We are looking for a skilled Claims Admin Officer will be responsible for receiving and acknowledging claims, logging them on the system, and providing Batch Number / Unique Claim Reference Number. Follow up on missing requirements with customer service, insurance companies, service providers, brokers or the members. Assign Batches to users for processing.

Documentation and reporting of incoming volume and output.

Your Job:

  • Receive batches from PIC, Brokers, Providers, Customer Service and Members
  • Open batches in MedNext+ with agreed TAT 1 working day or less.
  • Ensure that the member, CS, broker receive a reference number
  • Segregate batches according to benefit.
  • Fulfill missing requirements such as bank details, medical reports, proof of payment … etc.
  • Assign open batches to claims officers
  • Monitoring and reporting of claims officers’ daily productivity.
  • Monitoring and reporting of reported and outstanding claims

Your Profile:

  • Minimum 1-3 year experience in the insurance industry or TPA Company or providers in terms of claims cycle.
  • Very Good Computer Skills
  • Excellent interpersonal and communication skills
  • Very Good Command of the English language
  • Teamwork
  • Attention to details
  • Time Management
  • Customer Centric
  • Problem-Solving
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