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    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
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    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

    Apply Now

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    Thank you

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    Apply Now

    Not You?

     I confirm that I have read the Data Protection Policy and understand how my personal data will be used and stored.  I grant permission to WTW to use the personal data that I submit for the purposes described. 

    Thank you

    Unsolicited Contact

    Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Willis Towers Watson are considered property of Willis Towers Watson and are not subject to payment of agency fees. In order to be an authorized Recruitment Agency/Search Firm for Willis Towers Watson, any such agency must have an existing formal written agreement signed by an authorized Willis Towers Watson recruiter and an active working relationship with the organization. Resumes must be submitted according to our candidate submission process, which includes being actively engaged on the particular search. Likewise, for our authorized Recruitment Agencies/Search Firms, if the candidate submission process is not followed, no agency fees will be paid by Willis Towers Watson. Willis Towers Watson is an equal opportunity employer. If you would like to have your contact information saved for future consideration, please email: Agency.inquiries@willistowerswatson.com.

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