Health and Benefits Claims Specialist
Cairo, Cairo Governorate, Egypt
Health and Benefits Claims Specialist
202406143
Cairo, Cairo Governorate, Egypt
Full time
Closing on: Nov 25 2024
Description
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
Qualifications
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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