Job Opportunities in Egypt


September 12, 2024

WTW

القاهرة

FULL TIME


Health and Benefits Claims Specialist

As H&B Claims Specialist , you will work to manage and monitor client’s claims submissions and claims pre-approvals. You will be in day to day communication liaison with Consultants, Clients, Client Members, Insurers, and Third Party Administrators


Role
  • Conduct regular clients visits to collect and review claims and discuss any issues related to claims.
  • Gathers and reviews loss information and prepares claim status reports.
  • Responds to and advocates on claims, coverage and eligibility questions from clients
  • Collects, reviews and records rejections and settlements
  • Acts as a liaison between carriers and clients, addressing service issues and monitoring for trends.
  • Develops and fosters positive relationships with clients and carriers
  • Acts as a referral point and mentor for the team
  • Identify areas of for improvement in claims processes leading to efficiencies

Requirements
  • Bachelor’s degree of any discipline preferably medicine / Pharmacy
  • Computer literacy
  • Working knowledge of Excel, MS Project, MS Word
  • Claims system experience preferred
  • Knowledge of the Market Service Organizations (MSOs) such as adjusters, accountants and other experts likely to be appointed by carriers.
  • Minimum 2 years experience of insurance claims handling or advocacy.
  • Knowledge of specific claims area.

Application Process
  • Stage 1: Online application and recruiter review
  • Stage 2 Live video interviews with hiring managers
  • Stage 3: Offer and onboarding
WTW is an equal opportunity employer

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