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Claims Supervisor

Maadi, Cairo

Claims Supervisor

Maadi, Cairo
Posted 12 days ago
8Applicants for1 open position
  • 8Viewed
  • 2In Consideration
  • 5Not Selected

Job Details

Experience Needed:
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Skills And Tools:

Job Description

  1. Planning & Monitoring Process
  • Develop best practices to optimize claim processing quality. 
  • Evaluate professional skills of claim staffs and provide appropriate claim assignments to them. 
  • Oversee medical, insurance and legal aspects of assigned claims. Interact with Claimant, Polices and others to ensure claim acceptance  
  • Assist in hiring and training new candidates in their job responsibilities. 
  • Monitor individual performance and ensure it meets expected quality and performance objectives.
  • Develop professional development plans for employees to improve performance efficiency. 
  • Assist in employee performance evaluation, promotion, retention and termination activities.
  1. Operational  Excellence Process 
  • Ensure that claim team follows state regulations and standard operating procedures.
  • Resolve coverage issues and approve coverage denials. 
  • Assist claim personnel in coverage investigation, liability analysis and acceptance negotiation.
  • Document claim assessment and filing activities accurately. 
  • Provide daily support to claim staff on claim managing and filing activities. 
  • Managing statistical data to ensure that claims met the desire turnaround times and Metrics.

Job Requirements

  • Physician only . 
  • Experience in claims . 
  • Communication skills . 

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