Claims Administrator
(Code: CLA)
Overview of the role: Responsible for the review of claims, this includes gathering information required to substantiate claims, reconciling the claim against policy terms and conditions and proceeding to approving or denying the claim. Major Duties and Responsibilities:- Deciding upon claim eligibility by reviewing insurance policy terms and conditions.
- Updates claim reserves through company’s system.
- Calculating claim payments using calculation method per each policy
- Proceeding to payments of claims through company’s system
- Co-operating with company’s partner doctors in order to get medical guidelines regarding the correct claim evaluation.
- Communicating (oral or written) with customers and / or major partner client executives in order to:
- Handle complaints and provide explanations of policy terms / claim calculations.
- Ask additional clarifications in order to gather all information necessary for the accurate evaluation of claims.
- Communicating with medical centers staff in order to exchange all necessary related information when handling direct payments claims
- Communicating with other departments (IT/ POS/ Accounting etc) regarding the solution of claim related issues such as technical problems, general policy issues or bank and accounting issues
- University degree (e.g. Economics, Mathematics, Business Administration).
- Advance computers skills (MS office)
- Communication skills – Team Player Mentality
- Analytical skills – Detail Oriented
- Goal Oriented
- Strong organizational skills
- Able to make decisions on a regular basis
- Able to negotiate
Financial Analyst | Startup Unicorns Project Location: Cairo, Egypt
Duration: 6 weeks (1 Nov – 15 Dec 2017)
Κάνε το πρώτο βήμα στην καριέρα σου με το Startup Unicorns Project, μία επαγγελματική άμισθη πρακτική άσκηση, στις μεγαλύτερες Startup επιχειρήσεις της Αιγύπτου. Το πρόγραμμα σου δίνει την ευκαιρία να αναπτύξεις τις δεξιότητες σου πάνω στο τομέα που θες να ασχοληθείς στο μέλλον και παράλληλα να ανακαλύψεις πως αναπτύσσεται γρήγορα μία startup επιχείρηση.
Για να ενημερωθείς για τη διαδικασία συμπλήρωσε τα στοιχεία σου εδώ:http://aiesec.org/opportunity/861912
WHAT WILL YOU DO?
-Analyze financial data by collecting, monitor ,create financial models for decision support -Improve financial status by analyzing results; monitoring variances;
-Identify trends; recommending actions to management.
-Assist in preparing pitch deck presentation with financial models to attract investors -Assist with annual and quarterly forecasting.
-Identify financial status by comparing and analyzing actual results with plans , forecasts. -Guide cost analysis process by establishing and enforcing policies and procedures; -Provide trends and forecasts; explaining processes and techniques; recommending actions. -Prepare sales and marketing financial analysis
-Conduct Market research, data mining, business intelligence, and valuation comps
BACKGROUND
Business Administration, Finance
PREFERRED SKILLS:
Windows PC usage, Presentation skills, Leadership, Handling Pressure, Salesforce
LANGUAGES:
English
*No Paid Experience Accomodation Covered
