Senior Medical Advisor Medical Specialist - Cairo

Job Level:  Professional
Location: 

Cairo, EG

Area of Expertise:  Customer Services & Claims
Unit:  Allianz Partners
Employing Entity:  Nextcare Egypt
Job Type:  Full-Time
Remote Job:  Hybrid working
Employment Type:  Permanent
ID:  73312
Position Cluster:  Non-Executive

JOB DETAILS:

Allianz Care provides insurance solutions for health, life and disability on a global scale. Our focus is on earning and maintaining client loyalty by providing a global, market leading, level of service and support. We are the international health division of Allianz Partners and part of the Allianz Group.

Medical Services Division:
Multinational corporations with employees working in remote environments, for example within the mining, construction or oil and gas or for IGO`s who often face challenging conditions when medical assistance is needed. At Allianz Care, we provide medical assistance globally and have growing needs due to recent client wins.

What you do

Key responsibilities will include, but are not limited to, the following:

•    Solely responsible for handling client escalations in a timely manner.
•    Proactive approach towards escalation resolutions
•    Act as point of contact to different stakeholders 
•    Attend regular calls with clients and receive calls if needed
•    Make outbound reaches to both clients and Provider/TPA/Physicians 
•    Provider after hours support with internal team and clients
•    Assist in setting up and updating best practice guidelines.
•    Report escalations and identify trends to achieve best results.
•    Work closely with MPM, Service delivery, and Claims teams
•    Identify process gaps and work closely with relevant team to address them 
•    Identify cost containment opportunities and coach others to do the same.
•    Become an expert/go to person 
•    Carry out audits on a monthly basis as required
•    Maintain relationships with brokers/clients/providers.
•    Deputize TL when required specially during shifts.

 What you bring

•    At least 2 years of experience in Medical Insurance field
•    Medical background is a must Preferably clinical pharmacist.
•    Experience in international health insurance is a plus
•    Experience in escalations and complaints is a plus
•    Flexible with rotational shifts, working hours & work from office.
•    Strong Knowledge of Microsoft Office (Excel, Word).

What we offer

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring  that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.
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73312 | Customer Services & Claims | Professional | PG09 | 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. 

 

Join us. Let's care for tomorrow.