Claims Supervisor

Employer:Andalusia Careers
Job Title: Claims Supervisor
Location: Cairo, Egypt
Job Type:Unspecified
Category:Medical, Healthcare, Nursing
Description: About the jobPlanning & Monitoring Process:
  • Develop best practices to optimize claim processing quality.
  • Evaluate professional skills of claim staffs and provide appropriate claim assignments to them.
  • Oversee medical, insurance and legal aspects of assigned claims. Interact with Claimant, Polices and others to ensure claim acceptance
  • Assist in hiring and training new candidates in their job responsibilities.
  • Monitor individual performance and ensure it meets expected quality and performance objectives.
  • Develop professional development plans for employees to improve performance efficiency.
  • Assist in employee performance evaluation, promotion, retention and termination activities.

Operational Excellence Process:
  • Ensure that claim team follows state regulations and standard operating procedures.
  • Resolve coverage issues and approve coverage denials.
  • Assist claim personnel in coverage investigation, liability analysis and acceptance negotiation.
  • Document claim assessment and filing activities accurately.
  • Provide daily support to claim staff on claim managing and filing activities.
  • Managing statistical data to ensure that claims met the desire turnaround times and Metrics.

Qualifications:
Salary:Unspecified
Contact:

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Posted in Healthcare Medical Nursing