Claims Manager - Egypt Branch

Claims Manager - Egypt Branch

• Manage and develop team: monitor workload, ensure job proficiency, develop career goals by evaluating and monitoring individual staff performance and giving appropriate feedback, identify training and development needs and support training attendance

• Lead and motivate staff to achieve excellent customer service standards, retain staff and create a good working environment, recognize accomplishments, and serve as role model and coach by providing feedback to improve performance and executing progressive discipline as needed.

• Establish, communicate and manage goals and expectations for department and individual performance.

• Responsible for workload distribution and for ensuring adequate staffing/resources daily and on a long term basis (including hiring process); work collaboratively with business productivity department to schedule staff and distribute daily workload, as well as forecast future staffing resources to ensure optimal customer service.

• Monitor and audit daily performance to ensure the best possible customer service.

• Ensure contractual agreements are being met daily.

• Continuously work to identify broken processes; develop, recommend and implement improvements.

• Analyze customer volumes and provide customer service reports to management.

• Plan and facilitate effective team meetings to share important customer or product knowledge resulting in improved communication and proactive resolution to customer inquiries.

• Investigate, Negotiate and settle claims within delegated Authority.

• Regularly review outstanding claims and liaise with the Management/Finance Department to ensure the adequacy of claim reserves.

• Control and monitor the appointment of Loss Adjusters and carry out minor surveys.

• Prepare all statistics required by Management including Claim cost, Average Claim Ratio.

• Manage and supervise Team outputs as well individual performance.

• Achieve monthly team targets in terms of claims processed.

• Communicate with other department managers pertaining to issues related to claims processing and vice versa

• Develop and monitor subordinates skills to fulfill the tasks requirements and enable motivation of staff and encourage their professional growth.

• Handle internal and external communications related to the issues of department on a day to day operation in a timely and professional manner.

• Build employees to be a client oriented focus, keep them motivated with support and directions.

• Develop and maintain beneficial working relationships with subordinates and colleagues and meet inter departmental deadlines.

• Promotes the best image for the company through the professional appearance and behavior and adhere to company standards and procedures.

• Conduct staff appraisal using company performance appraisal tool & ensure unit performs its task to have the medical ethics respected at all times.

• Contribute in developing, updating and implementing policies and procedures to suit the functional objective of the business.

• Responsible in implementation of the core processes with accountability on the overall performance of the department.

• Suggest updates in policies and procedures within the department to be followed by the staff members.

• Manage process claims targets and quality check of data & efficiency of the staff members according to operational measures.

• Ensuring high level of quality in daily claims processing for maximum medical data collection.

• Ensure employees follow company ethics/values at all times.

• Control over daily work load by maintaining records of the individual Processor and giving them feedback on one on one session.

• Maintain the productivity reports of the team members.

• Preparing & Maintaining Weekly & Monthly Process Report.

• Suggest training requirements of staff to ensure productivity and growth

Job Details

Date Posted: 2013-10-20
Job Location: Cairo, Egypt
Job Role: Management
Company Industry: Insurance; Healthcare, other

Preferred Candidate

Career Level: Management
Nationality: Egypt
Degree: Bachelor's degree / higher diploma

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October 20, 2013 at 03:36PM