Associate, Claims Operations
Operations
Cairo, Cairo Governorate, Egypt
About Us
Job Description
Every healthcare claim tells a story. We need a doctor who can read it closely and get it right.
About Reliance Health
We're a healthcare technology company of 400+ people using technology to make healthcare affordable, accessible, and delightful in emerging markets. We operate across Nigeria, Egypt, Senegal, and Côte d'Ivoire, with 300,000 people depending on us for their healthcare. We're one of Time Magazine's World's Top Healthtech Companies (2025).
We're a data-driven team that values ambitious thinking, simple communication, and working without micromanagement. We move fast, learn by doing, and our diverse team spans multiple nationalities and backgrounds.
The Role
As our Associate, Claims Operations, you'll review, check, and process healthcare claims from our providers. You'll use your clinical knowledge to decide what is fair and in line with each member's plan. You'll help protect Reliance Health from fraud, waste, and abuse, while making sure providers and members are paid on time. If you're a doctor who loves detail, this role is for you.
What You'll Do
- Receive, enter, and process provider claims using our standard procedures
- Investigate complex claims and decide on them using company policy and clinical standards
- Make sure valid claims are paid on time
- Spot and decline fraudulent claims
- Look into suspected fraud, waste, and abuse and write reports for senior review
- Update providers on claims payments and account reconciliations
- Work with the provider management team to manage accounts and resolve complaints
- Advise the approval team on complex cases and suggest patient referrals when needed
What You'll Bring
- A first degree in medicine
- At least 1 year of clinical practice as a doctor
- Good understanding of clinical terms, procedures, and guidelines
- Strong numeracy and data skills to calculate claim amounts, deductions, and reconciliations accurately
- Clear spoken and written communication, and good use of Microsoft Word and PowerPoint
- Based in Cairo, Egypt
Nice to Have
- Experience with claims processing or care approvals
- Ability to spot patterns that point to fraud, waste, or abuse
What We Offer
- Salary: EGP 16,518.19 monthly (gross)
- Hybrid role based in Cairo, Egypt (onsite up to three times a week)
- Unlimited leave – take the time you need
- Premium health insurance for you and your family
- Learning and development allowance to support your growth
Ready to Join Us?
If this sounds like you, we'd love to hear from you. Apply today.
