Claims Supervisor

1.00 to 10.00 Years Cairo, Egypt 01 Oct, 2021

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.

Keyskills :

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