About Amanleek:
Amanleek is an innovative insurance service provider located in New Cairo. Our mission is to simplify insurance services and make them more accessible for a wider base of individual and business customers. We leverage transparency, trust, and innovation to deliver an enhanced experience for our clients and meet the evolving needs of the insurance market through tech-based solutions and product innovation.
About the role: The Medical Operations Executive plays a crucial role in ensuring the smooth and efficient functioning of medical operations. This position is responsible for managing approval issues, facilitating reimbursement requests, and conducting in-depth portfolio analysis to generate consumption reports.
Job Responsibilities:
• Act as the primary point of contact for B2B clients regarding medical operations, ensuring timely support and resolution of medical-related inquiries.
• Manage approval issues and resolve them in line with medical guidelines and policy schedules.
• Submit reimbursement requests and assist members in tracking and following up on their cases.
• Perform portfolio analysis, assessment, and analysis for consumption reports.
• Communicate and coordinate with external partners, including insurance companies and Third-Party Administrators (TPAs), to facilitate approvals, resolve issues, and ensure smooth case handling.
• Handle escalations professionally and proactively recommend solutions to improve the client experience.
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