BEI Claims Assessor - Temporary

BEI Claims Assessor - Temporary Position

Location: Cairo, Egypt

Employment Type: Temporary, Full-Time (40 hours per week)

Company: Bupa Global

Role Overview

Bupa Global is seeking a skilled BEI Claims Assessor to join our Cairo office on a temporary basis. As a leading international health insurance provider with offices in London, Brighton, Dublin, Miami, and across the globe, Bupa Global delivers premium healthcare solutions to individuals and corporate clients worldwide. This role is critical to ensuring accurate, timely, and fair assessment of claims in line with policy terms and regulatory standards.

Key Responsibilities

• Assess and process BEI (Business Enterprise Insurance) claims in accordance with policy wording, company guidelines, and local regulations.
• Review claim documentation, medical reports, invoices, and supporting evidence to determine eligibility and coverage.
• Liaise with policyholders, healthcare providers, brokers, and internal stakeholders to gather information and resolve queries.
• Apply clinical and financial assessment criteria to validate claim amounts and identify potential fraud, waste, or abuse.
• Maintain accurate records in claims management systems and ensure compliance with data protection and audit requirements.
• Escalate complex or high-value claims to senior assessors or technical specialists as needed.
• Contribute to continuous improvement initiatives by identifying trends, process gaps, and training needs.
• Adhere to service level agreements (SLAs) for claim turnaround times and customer satisfaction targets.

Required Qualifications & Experience

• Bachelor's degree in Health Sciences, Nursing, Business Administration, Insurance, or related field.
• Minimum 2-3 years of experience in health insurance claims assessment, medical billing, or clinical review.
• Proven experience with international private medical insurance (IPMI) or corporate health claims is highly desirable.
• Strong understanding of medical terminology, coding systems (ICD-10, CPT), and healthcare reimbursement models.
• Familiarity with claims management platforms (e.g., Guidewire, Sapiens, or proprietary systems).
• Proficiency in English and Arabic (written and verbal) — essential for communication across Bupa's global network.

Core Competencies & Skills

• Analytical thinking — ability to interpret complex policy terms and medical data.
• Attention to detail — precision in financial and clinical assessment.
• Decision-making — sound judgment under pressure with competing priorities.
• Communication — clear, empathetic, and professional interaction with diverse stakeholders.
• Organizational skills — manage high-volume caseloads while meeting SLAs.
• Integrity & compliance — unwavering adherence to ethical standards and regulatory frameworks.

Why Join Bupa Global?

This temporary role offers exposure to a world-class health insurance operation with global reach. You will work within a multicultural team, gain experience with international claims standards, and contribute to a mission that helps people live longer, healthier, happier lives. Bupa Global fosters an inclusive culture focused on learning, collaboration, and customer-centric excellence.

Industry Keywords

Claims Assessment, Health Insurance, IPMI, Medical Claims, BEI, Bupa Global, Cairo Jobs, Temporary Contract, Claims Adjudication, Policy Interpretation, Clinical Review, Fraud Detection, SLA Management, ICD-10, CPT Coding, Stakeholder Communication, Regulatory Compliance.