Medical claims Officer - Pharmacist only

Welcome to the Latest Job Vacancies Site 2025 and at this time we would like to inform you of the Latest Job Vacancies from the Allianz Partners with the position of Medical claims Officer - Pharmacist only - Allianz Partners which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Medical claims Officer - Pharmacist only - Allianz Partners below matches your qualifications. Good Luck: D

Summary: Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to. Key responsbilities/ What to do • Assesses approval of medical approvals as well as policy use.
  • Channels Medical Claims officers in handling difficult medical cases and optimize the quality and quantity output.
  • Monitors daily output on the number of case done and decrease in number of errors committed.
  • Provides second opinion for cases where there is doubt in treatment plan.
  • Assess high cost claims and provide 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.
  • Manages routine daily claims administration work.
  • Coordinates work flow & meet deadlines.
  • Provides on job training to team members as necessary.
Behavioral Requirements/ what to bring • 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 Precertification 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.
  • The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
Key Requirments/ what to bring Bachelors of Pharmacy Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level Physically fit to carry out duties. Key benefits/What we offer Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance. Summary: Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies and procedures are adhered to. Key responsbilities/ What to do • Assesses approval of medical approvals as well as policy use. • Channels Medical Claims officers in handling difficult medical cases and optimize the quality and quantity output.
  • Monitors daily output on the number of case done and decrease in number of errors committed.
  • Provides second opinion for cases where there is doubt in treatment plan.
  • Assess high cost claims and provide 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.
  • Manages routine daily claims administration work.
  • Coordinates work flow & meet deadlines.
  • Provides on job training to team members as necessary.
Behavioral Requirements/ what to bring • 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 Precertification 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.
  • The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
Key benefits/What we offer Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, 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 key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance. 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. We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation. Great to have you on board. Lets care for tomorrow. Job Level: Entry Level Location: Cairo, EG Area of Expertise: Customer Services & Claims Unit: Allianz Partners Employing Entity: Nextcare Egypt Job Type: Full-Time Remote Job: 100% on-site Employment Type: Permanent ID: 70622 Position Cluster:

Information :

  • Company : Allianz Partners
  • Position : Medical claims Officer - Pharmacist only
  • Location : Cairo
  • Country : EG

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Medical claims Officer - Pharmacist only job info - Allianz Partners Cairo above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Medical claims Officer - Pharmacist only job info - Allianz Partners Cairo in 2025-04-09 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.


Attention - In the recruitment process, legitimate companies never withdraw fees from candidates. If there are companies that attract interview fees, tests, ticket reservations, etc. it is better to avoid it because there are indications of fraud. If you see something suspicious please contact us: support@jobkos.com

Post Date : 2025-04-09 | Expired Date : 2025-05-09