Allianz

1 month ago

Claims Retrospective Associate - Fluent English (Physicians only) (Cairo, EG)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Medical claims reviewer role combining physician expertise with claims operations. You will assess inpatient/outpatient claims for medical necessity, accuracy, and policy compliance, collaborating with claims teams to support adjudication while maintaining high-quality service in a fast-paced environment.

Location: Cairo

Workplace: Hybrid

Employment Type: Full time

Job Function: Insurance & Actuarial

Key Responsibilities

•Conduct clinical assessments of inpatient and outpatient medical claims to ensure accuracy and compliance with policy terms and clinical guidelines.
•Validate diagnoses, procedures, and services against medical records and policy terms.
•Identify discrepancies, overutilization, or non-compliance with guidelines.
•Collaborate with claims teams to support adjudication decisions and ensure alignment with medical policies and regulatory requirements.
•Contribute to team and departmental productivity targets to achieve agreed SLA and provide high-level customer service.

Key Requirements

•Bachelor of Medicine and Surgery (Physician) in Internal Medicine or Physical Therapy
•1-3 years of clinical practice or medical review experience
•Familiarity with ICD, CPT, DRG coding and insurance guidelines
•Strong analytical and decision‑making skills with high accuracy and attention to detail
•Excellent written and verbal communication in English; legally permitted to work in-country

Experience:1-3 yearsHealthcareInsurance

Education:Bachelor's

Skills:CommunicationAnalyticalAttention to detailTeamwork

Languages:English

Tech Stack:ICDCPTDRGMS Office

Company Brief

Allianz

Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.

Industry: Insurance

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Munich, Germany

Founded: 1890

Website LinkedIn

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Allianz

1 month ago

Claims Retrospective Associate - Fluent English (Physicians only) (Cairo, EG)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Location: Cairo

Workplace: Hybrid

Employment Type: Full time

Job Function: Insurance & Actuarial

Key Responsibilities

•Conduct clinical assessments of inpatient and outpatient medical claims to ensure accuracy and compliance with policy terms and clinical guidelines.
•Validate diagnoses, procedures, and services against medical records and policy terms.
•Identify discrepancies, overutilization, or non-compliance with guidelines.
•Collaborate with claims teams to support adjudication decisions and ensure alignment with medical policies and regulatory requirements.
•Contribute to team and departmental productivity targets to achieve agreed SLA and provide high-level customer service.

Key Requirements

•Bachelor of Medicine and Surgery (Physician) in Internal Medicine or Physical Therapy
•1-3 years of clinical practice or medical review experience
•Familiarity with ICD, CPT, DRG coding and insurance guidelines
•Strong analytical and decision‑making skills with high accuracy and attention to detail
•Excellent written and verbal communication in English; legally permitted to work in-country

Experience:1-3 yearsHealthcareInsurance

Education:Bachelor's

Skills:CommunicationAnalyticalAttention to detailTeamwork

Languages:English

Tech Stack:ICDCPTDRGMS Office

Company Brief

Allianz

Industry: Insurance

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Munich, Germany

Founded: 1890

Website LinkedIn