Claims Retrospective Associate (Cairo, EG)

Allianz
Cairo
Workplace: OnsiteFull timeFunction: Insurance & ActuarialEducation: bachelorsSkills: ["Communication","Attention to detail","Problem-solving","Quality focus"]

Assess and process IP/OP medical claims according to operational standards, including reviewing approvals, handling difficult medical cases, and providing second opinions when treatment plans are uncertain. Monitor daily case output and error rates, manage routine claims administration, coordinate workflows to meet deadlines, and support the call center with clear feedback. Provide on-the-job training and operate effectively in an AI- and data-driven environment with responsible governance and ethical use.

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FursaFursa
Allianz
Allianz
1 day ago

Claims Retrospective Associate (Cairo, EG)

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

Source: Company careers pageValidated by: Fursa AI
Last checked: 18 hours agoStatus: Live
Reposted: similar role first listed 3 months ago

Job Summary

Assess and process IP/OP medical claims according to operational standards, including reviewing approvals, handling difficult medical cases, and providing second opinions when treatment plans are uncertain. Monitor daily case output and error rates, manage routine claims administration, coordinate workflows to meet deadlines, and support the call center with clear feedback. Provide on-the-job training and operate effectively in an AI- and data-driven environment with responsible governance and ethical use.
Location: Cairo
Workplace: Onsite
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Entry level

Key Responsibilities

  • •Assess and process IP/OP claims, including reviewing medical approvals and policy use.
  • •Channel medical claims officers for difficult cases and optimize quality and output.
  • •Monitor daily case volume and reduce errors; support routine claims administration.
  • •Provide second opinions for unclear treatment plans and assess high-cost/complex claims.
  • •Coordinate workflow to meet deadlines and provide on-the-job training; respond to call center queries with clear feedback.

Key Requirements

  • •Bachelor’s of Pharmacy, Dentistry, or Medicine.
  • •Medical practical experience with a reputable insurance provider, broker, or TPA (or entry level).
  • •Certified Medical Coder (preferable).
  • •Legally permitted to work in the country of operations.
  • •Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and strong internet navigation/research skills.
Experience:InsuranceHealthcareTPA
Education:Bachelor's in Pharmacy / Dentistry / Medicine
Skills:CommunicationAttention to detailProblem-solvingQuality focus
Certifications:Certified Medical Coder
Tech Stack:MS OfficeExcelWordOutlookPowerPointArtificial intelligenceMachine learningData analyticsCloud-based toolsData governance

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

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
WebsiteLinkedIn