On-site Full Time
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AXON Healthtech

Job Details

????We're Hiring – Medical Senior Claims Audit Officer???? Location: Maadi, Cairo, Egypt???? Company: Axon Health Tech???? Employment Type: Full-Time
About Axon Health Tech Axon is one of Egypt’s fastest-growing Health Tech companies, pioneering digital healthcare services such as third-party administration (TPA), medical discount programs (Axon Plus), and corporate wellness solutions. We serve both insured and uninsured populations through innovative, tech-enabled platforms that improve healthcare access, affordability, and efficiency. Position Overview:The Medical Senior Claims Audit Officer is responsible for overseeing the review and audit of medical claims to ensure compliance with company policies, medical guidelines, and regulatory standards. The role plays a key part in identifying errors, preventing fraud, and ensuring fair and accurate claim settlements while maintaining high service quality and customer satisfaction. Key Responsibilities:• Review and audit medical claims to ensure accuracy and compliance with internal policies and external regulations.• Identify discrepancies, errors, or potential fraud in claim submissions.• Provide feedback and recommendations to the claims processing team to improve accuracy and efficiency.• Prepare regular audit reports and share findings with management.• Collaborate with medical, legal, and compliance teams to resolve complex cases.• Ensure SLA timelines for claim auditing are met.• Support in training junior claims officers and sharing best practices.• Contribute to the development and update of auditing policies and procedures. Required Qualifications:Bachelor’s degree in Pharmacy or Medicine (required). Previous experience in medical claims auditing, medical coding, or healthcare insurance is preferred. Strong understanding of medical terminology, treatment protocols, and insurance guidelines. Excellent analytical skills with high attention to detail and accuracy. Solid knowledge of medical claims processes, fraud detection techniques, and regulatory compliance. Ability to review and interpret medical reports, invoices, and supporting documents. Proficiency in MS Office applications (especially Excel). Strong communication and reporting skills. Ability to work under pressure and meet strict deadlines. Strong problem-solving skills with the ability to handle complex cases professionally. Why Join Axon? Work on impactful healthcare solutions that improve lives. Be part of a rapidly growing company with strong growth opportunities. Competitive salary and performance-based incentives. Flexible and collaborative work environment. Health and social insurance coverage. Exposure to leadership, innovation, and decision-making in healthtech.

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About AXON Healthtech
Egypt, Cairo
Insurance