Personnel Specialist (Medical Insurance)

Translated
On-site Full Time
Egypt , Sharkia
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Job Details

  • Administer the employee’s Medical Insurance. 

  • Liaise with the external healthcare providers to ensure timely and effective treatment plans and to facilitate the communication between the employees and the medical providers. 

  • Manage employee medical leave cases, including long-term disability, maternity leave, and workers’ compensation claims.

  • Administrate medical insurance benefit, including answering queries, documentation and filing of related paperwork, and communicating with employees regarding outcomes or other questions they may have in medical insurance. 

  • Responsible for the addition of new members and deletion of leaving employees from medical service in a timely manner and on regular basics with high accuracy. 

  • Train & support employees on how to refund out of Network claims and settle similar claims, Overlook the settlements for medical refund invoices and follow up on cash delivery to staff.

  • Maintain accurate records of medical data and chronic medications. 

  • Prepare regular reports regarding consumption, chronic, abuse cases (if any), etc…

  •  Flexible enough to take phone calls and receive employee's inquiries and support them in case of emergency at any time. 

Requirements

  • Batchelor's degree in business administration or any related field.

  • Previous experience in handling Medical Insurance in an industrial environment (a must).

  • Excellent communication and interpersonal skills.

  • Strong organizational skills and the ability to manage multiple responsibilities simultaneously.

  • Male candidates are preferred.

  • Flexibility & problem-solving skills.

  • Good communication and follow-up skills.

  • Proficiency in Microsoft Office tools; especially Excel.

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