YA
Yara Alaa
Senior Claims Officer at Allianz Care
Cairo, EgyptWork Experience
Allianz Care
Jan 2025 - Present -6 months
Egypt
- Job Details:Leading and mentoring junior claims officers to ensure high-quality claims processing and customer satisfaction. Reviewing complex medical claims and making high-level decisions on approvals and escalations. Implementing process improvements to enhance accuracy, speed, and compliance in claims handling. Collaborating with cross-functional teams to optimize workflow and enhance customer experience. Handling high-value claims and ensuring adherence to company policies and international regulations.
Allianz Care
Dec 2022 - Dec 2024 -2 yrs
Egypt
- Job Details:Processing medical claims for clients worldwide. Responding to customer enquiries accurately and professionally and if necessary, liaising with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction. Participating in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills.
Novartis
Jan 2021 - Feb 2022 -1 yr, 1 month
Egypt
- Job Details:Developed and executed strategic sales plans to increase market share and brand awareness for Novartis products. Conducted product training sessions for healthcare professionals to enhance understanding of Novartis products. Built and maintained strong relationships with key stakeholders, including doctors and pharmacists. Collaborated with marketing and sales teams to optimize promotional campaigns and drive revenue growth.
Novartis
Jul 2019 - Dec 2020 -1 yr, 5 months
Egypt
- Job Details:Promote and sell Novartis products. Increase product awareness. Organizing appointments and meetings with doctors and pharmacists. Review sales performance.
Skills
- Microsoft Office (Word, Excel, PowerPoint)
- Claims adjudication & processing
- Medical billing
- Insurance regulations & compliance
- Risk assessment & fraud detection
- Customer Dispute Resolution
- Decision-making & Problem-solving
- Time Management & Multitasking
- CRM & claims management software
- Team Leadership & Mentoring
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Languages
English
BeginnerFrench
BeginnerArabic
Beginner