Job Title: Doctor - Medical Dept.
JOB PURPOSE:
Provide operational support to Deputy Manager- Medical by supervising the claims, medical audit & relationship with the TPA in the Medical department and prepare prescribed management reports accurately within the prescribed deadlines.
KEY ACCOUNTABILITIES:
1- Ensure proper control of claims consistent with customer satisfaction and explore ways to control claims costs.
2- Ensure proper control of claims in coordination with the TPA, minimize abuse level and ensure loss ratio is under control at a reasonable ratio to achieve profit.
3- Coordinate between TPA and clients for any medical related issues such as arranging meetings and solving problems.
4- Arrange expeditious issue of all documents on computer and furnish the premium and requisite Bordeaux on timely basis.
5- Attend to customer complaints and find out solutions to the utmost satisfaction of the customers without sacrificing company’s interest.
6- Attend to clients, claimants and development officers in matters pertaining to Medical insurance.
7- Performs miscellaneous job-related duties as assigned.
QUALIFICATIONS, EXPERIENCE, & SKILLS:
Graduate / Post graduate with a degree / diploma in Insurance.
Minimum Experience: 2-5 years experience in a progressive organisation.
Job-Specific Skills:
Insurance – Technical, with special emphasis on Medical Expenses Assurance. MS – Office, Internet, Operation of MS Windows.
Behavioural Competencies:
• Sound Technical knowledge.
• Tactfulness & Good judgment.
• Good communication skills.
If you are interested please send your C.V to this email address :
Professionalcareer.eg@gmail.com
JOB PURPOSE:
Provide operational support to Deputy Manager- Medical by supervising the claims, medical audit & relationship with the TPA in the Medical department and prepare prescribed management reports accurately within the prescribed deadlines.
KEY ACCOUNTABILITIES:
1- Ensure proper control of claims consistent with customer satisfaction and explore ways to control claims costs.
2- Ensure proper control of claims in coordination with the TPA, minimize abuse level and ensure loss ratio is under control at a reasonable ratio to achieve profit.
3- Coordinate between TPA and clients for any medical related issues such as arranging meetings and solving problems.
4- Arrange expeditious issue of all documents on computer and furnish the premium and requisite Bordeaux on timely basis.
5- Attend to customer complaints and find out solutions to the utmost satisfaction of the customers without sacrificing company’s interest.
6- Attend to clients, claimants and development officers in matters pertaining to Medical insurance.
7- Performs miscellaneous job-related duties as assigned.
QUALIFICATIONS, EXPERIENCE, & SKILLS:
Graduate / Post graduate with a degree / diploma in Insurance.
Minimum Experience: 2-5 years experience in a progressive organisation.
Job-Specific Skills:
Insurance – Technical, with special emphasis on Medical Expenses Assurance. MS – Office, Internet, Operation of MS Windows.
Behavioural Competencies:
• Sound Technical knowledge.
• Tactfulness & Good judgment.
• Good communication skills.
If you are interested please send your C.V to this email address :
Professionalcareer.eg@gmail.com
