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Job Description
Precertification Junior Assessor
This role sits at the point where medical knowledge, customer care and insurance operations meet. When a customer needs treatment, you help decide quickly and accurately what will be covered, so they get care without unnecessary delay or disputes.
It’s a good fit if you have a clinical background in anaesthesia / intensive care, you understand how treatment decisions are made in practice, and you’re comfortable translating that into clear eligibility and approval decisions in an insurance/TPA environment. You’ll be on the phone and email with providers, working in shifts, and handling time‑sensitive requests, so you need to be calm under pressure, precise with details, and able to explain decisions clearly in French, English and Arabic.
What you do
- Assess and process precertification requests and claims against medical and policy criteri...