هذه الوظيفة لم تعد متاحة
انتهت صلاحية هذه الوظيفة في 08/09/2026. لم تعد تقبل الطلبات.
Precertification Junior Assessor
Nextcare · Tunis
وصف الوظيفة
About the role
The Precertification Junior Assessor supports Allianz Partners by reviewing and processing precertification requests and claims. Working in a 24/7 shift‑based environment, you will interact with healthcare providers and internal teams to ensure accurate eligibility decisions.
Key responsibilities
- Assess and process precertification requests against medical and policy criteria within agreed timeframes.
- Handle incoming calls and emails from providers, clarifying medical information and explaining coverage decisions.
- Coordinate daily workflow with colleagues and other departments to meet deadlines and maintain high service levels.
- Identify and report issues or unusual cases, suggesting improvements to processes and tools.
- Maintain accurate records in compliance with operational standards, guidelines and regulatory requirements.
- Utilise AI, machine learning, data analytics and cloud‑based tools responsibly, adhering to data governance and security standards.
Required profile
- Bachelor’s degree in Anesthesia and Intensive Care or a closely related field.
- At least 2 years of clinical experience and 1+ year of claims or precertification experience in an insurance/TPA environment.
- Fluent in French, English and Arabic with strong verbal and written communication skills.
- Ability to stay accurate and organised under pressure, including shift work.
- Collaborative, service‑focused attitude and ability to work with senior managers, peers and external partners.
Required skills
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Microsoft PowerPoint
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Nextcare
Tunis