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Precertification Junior Assessor

Nextcare · Tunis

Junior 🇬🇧 English

Job description

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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Published 2 months ago

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Nextcare

Tunis