✨ AI Summary
The Medical Insurance Specialist role at Wise Insurance Brokerage involves managing medical approvals, reviewing claims, and ensuring adherence to insurance policies and medical needs. Key responsibilities include handling medical approvals, reviewing claims, explaining medical decisions, and controlling medical costs. The role requires a Bachelor's degree in a medical field, over 4 years of experience in medical insurance, TPA, or brokerage, and strong analytical, communication (Arabic and English), and problem-solving skills.
Requirements
Bachelor's degree in a medical field is required. Must have 4+ years of previous work experience in a medical insurance company, TPA, or insurance brokerage. Required skills include strong medical knowledge, analytical skills for reviewing medical reports and financial data, fluent Arabic and English communication, and strong problem-solving and negotiation skills.
Description
About the RoleThe role involves managing medical approvals, reviewing claims, and ensuring that all processes align with insurance policies and medical needs.ResponsibilitiesHandle Medical ApprovalsReview ClaimsExplain Medical DecisionsControl Medical CostsQualificationsEducation: Bachelor's degree in medical field (required).Required SkillsMedical Knowledge: Strong understanding of medical terms, medications, and healthcare providers in Egypt.Experience: +4 years Previous work in a medical insurance company, TPA, or insurance brokerage is required.Analytical Skills: Able to review medical reports and financial data to make correct decisions.Language & Communication: Fluent in Arabic and English; able to communicate clearly and respectfully with patients and business clients.Problem-Solving Skills: Strong negotiation skills and ability to discuss medical cases professionally to protect client interests.