Claims Resolution Expert
2 weeks ago
Company Overview
Walaa Cooperative Insurance Company is committed to delivering excellent service to our customers.
Job Requirements
- This role requires a Medical Claims Officer to process outpatient claims daily, adhering to medical policies and guidelines.
- The ideal candidate will review claims data (physical and electronic), verifying accuracy and identifying potential issues.
- Maintaining high accuracy rates in quality audits and meeting daily processing targets are essential performance indicators.
- Collaboration with senior staff on complex claims cases is also a critical aspect of this role.
Education and Experience
To succeed in this position, you should have:
- A Bachelor's degree in Dental, Physiotherapy, Pharmacy, or a related medical field.
- A minimum of 2 years' experience in health insurance, although fresh graduates with relevant educational backgrounds are encouraged to apply.
Key Skills
- Strong analytical, quantitative, and problem-solving skills.
- Excellent communication, interpersonal, and organizational abilities.
- A high level of self-motivation and a proactive approach to challenges.
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