مدير مطالبات الصحة والتأمين (ذكر/أنثى) | الدار البيضاء (المغرب)

Job description

Job :

Reporting to the health department, you will manage the health and provident claims of our policyholders, from receipt to settlement:

• Ensure the follow-up and management of health claims.
• Verify the compliance of supporting documents (medical bills, prescriptions, medical reports, statements, etc.).
• Study and analyze the guarantees provided in health insurance contracts.
• Process reimbursement requests in accordance with procedures and deadlines.
• Communicate with insurance companies to track claims and resolve any issues.
• Inform and assist clients on the progress of their claims.
• Identify anomalies, incomplete files, or situations requiring expertise.
• Follow up with policyholders, healthcare providers, or insurers.
• Update management tools and report on processed claims.
• Manage and track claims related to incapacity, disability, and death

Required profile :

• Good knowledge of health insurance contracts, health guarantees, and claims management procedures.
• Proficiency in document analysis and verification of documents.
• Organizational skills, rigor, and ability to manage multiple files simultaneously.
• Good interpersonal skills and customer service orientation.
• Ability to communicate with policyholders and insurance companies.
• Proficiency in office software and claims management software.
• Associate's or Bachelor's degree (BAC+2 /3) in insurance, management, finance, or an administrative field.
• Experience in health claims management, brokerage, or insurance company is appreciated.
• Analytical skills