الرئيسية / الوظائف / 383 مشاهدة25 فبراير 2024


Reimbursement Claims Adjuster at GlobeMed Egypt - STJEGYPT



Reimbursement Claims Adjuster at GlobeMed Egypt - STJEGYPT

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Work Type : Full Time
Experience : 0-3 Years




Gender : male and female
Salary: Not mentioned
Salary Type : Net Salary
Location: Cairo- Egypt

Job Description

  • Performing technical audit on medical claims
  • Justifying the rejection reasons on system in rejection cases to facilitate the reconciliation process.
  • Proper implementation of agreements on claims in collaboration with the audit and processing team
  • Audit of invoice, if it is under his job responsibilities.
  • Coordination with other adjusters for distribution of the claims
  • Escalation of any problematic area to Supervisor.
  • Formulate and handle exceptions of claims.
  • Report to CPD manager any irregularity noticed during the audit and/or closing of claims.

Job Requirements

  • Bachelors degree in Pharmaceutical Science is a #MUST.
  • From 1-3 years of experience in the Medical insurance industry.
  • Details oriented, Time management & Team-players.
  • Very Good English Language skills are required.
  • Strong communication skills.
  • Ability to commit to 40 hours per week (from Sunday to Thursday)

Apply Now

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