Policy Administrator

Job Level:  Professional
Location: 

Cairo, EG

Area of Expertise:  Underwriting
Unit:  Allianz Partners
Employing Entity:  Nextcare Egypt
Job Type:  Full-Time
Remote Job:  Hybrid working
Employment Type:  Permanent
ID:  93053
Position Cluster:  Non-Executive

Policy Administrator is accountable for reviewing and maintain the TOB by checking the eligibility and exclusions program prior clients' approvals. This position requires a thorough understanding of medical treatments and admission process. The individual is responsible for ensuring that clinical and administrative intake services are provided for patients. In addition to that, he is responsible for creating the products of the policies on the system.

 

What you do

  • Review of table of benefits inclusions, exclusions, limits, and sub-limits in order to ensure applicability and adaptability of policy terms and conditions withNEXtCARE system and process or to do the needed modification in the internal process. 

  • Applying the TOB terms and exclusion on the MOB by creating the products of the policies on TATSH

  • Payers and clients' communications.

  • Coordination with all parties to understand all treatment plans.

  • AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use. 

 

What you bring

  • Bachelors Degree require (Pharmacy)

  • Physically fit to carry out duties

  • Medical insurance background.

  • Office applications: Good in Microsoft Office applications (including Word, Power Point & Excel and Outlook) and general Internet navigation and research skills Show flexibility, excellent interpersonal skills, project coordination experience.

  • Good communication skills.

  • Preferred insurance and medical background.

 

How we hire 
 Agency Statement Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered

 

What we offer

Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.

At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.

 

93053 | Underwriting | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. 

 

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust. 

 

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations. 

 

Great to have you on board. Let's care for tomorrow. 

 

Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz‘ company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.