هذه الوظيفة لم تعد متاحة
انتهت صلاحية هذه الوظيفة في 09/09/2026. لم تعد تقبل الطلبات.
Claims Payment Processor & Reconciliation Specialist
Nextcare · Tunis
وصف الوظيفة
About the role
The Finance team at Allianz Partners is looking for a Claims Payment Processor & Reconciliation Specialist to manage medical provider payments, monitor claim flows and ensure accurate accounting. You will work closely with finance, operations and external partners in a data‑driven environment.
Key responsibilities
- Prepare and process EFT payments to medical providers, ensuring accuracy and proper documentation.
- Monitor claims payment flows from all payers, track aging, follow up on delays and resolve discrepancies.
- Reconcile and update accounting systems with claims‑related transactions, maintaining compliance with internal controls.
- Calculate and collect receivables, issue statements and pursue overdue balances.
- Produce regular outstanding and aging reports for payers and internal teams.
- Maintain organized records for audit purposes.
- Communicate professionally with providers, insurers and partners to resolve queries.
- Utilise AI, machine‑learning, data‑analytics and cloud‑based tools responsibly.
Required profile
- Bachelor’s degree in Finance, Accounting or a related field, or equivalent practical experience.
- At least 1 year of experience in finance, accounting or claims payment processing; experience in a TPA, hospital or insurance setting is a plus.
- Strong attention to detail and ability to manage multiple payment runs and reconciliations simultaneously.
- Clear, professional communication and negotiation skills.
- Ability to work independently, escalate issues when needed and adapt to changing volumes.
- Legal right to work in the country of operation and willingness to work extended hours when required.
Required skills
- Advanced Excel (formulas, filters, pivot tables).
- Proficient use of Microsoft Office suite (Word, Outlook, PowerPoint).
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Nextcare
Tunis
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