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    Medical Claims Assessor - Dubai, United Arab Emirates - Talent Pal

    Talent Pal
    Talent Pal Dubai, United Arab Emirates

    Found in: Talent AE A C2 - 6 days ago

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    Description
    MAIN TASKS
    Evaluates medical claims/invoices from the technical and medicalperspectives as per policy terms and conditions. Apply the claims submission procedure regardingcopayment calculation penalty calculation and ensure thatsubmission timeline and process are followed. Ensures that insurance claims information is enteredinto the system correctly to ensure accurate processing and timelypayment. Ensures that providers fees andservice items charges coincide with their existing contract pricelist with Nextcare. Ensures the accuracyof the entered data as per the existing standard steps andprocedures of direct claims processing. Screens claim documents and process claim adjustment. Ensures Payment Orders are properly created andforwarded accordingly for final documentation and filing. Ensures adaptability in variousworkrelated tasks to be able to facilitate a multitasking role. Ensures that high quality standard of workperformance is achieved at all times. Maintains daily productivity targets and service levels.
    BEHAVIORAL REQUIREMENTS:
    • Strong verbal andwritten communication skills.
    • Show flexibility excellent interpersonal skills.
    • TeamPlayer.
    • Attention todetail and quality.
    • Ability to work well with all levels of internalmanagement and staff as well as outside clients and users.
    • Ability to train otherstaff.
    • The ability tocommunicate sensitively and effectively with claims department andother departments having regard for the strict need forconfidentiality.
    • Experience of working with senior managers andunderstanding the necessity to act in a pleasant and courteousmanner and to be able to work effectively with others.
    • The ability to exerciseinitiatives and be able to work flexibly under pressure and totight deadlines.
    BEHAVIORAL REQUIREMENTS:
    Customer & Market Excellence:
    • Strive for excellenceat every touch point with the customer
    • Foster stateofart technical/operationalknowledge and strive for continuous simplification
    • Be the benchmark
    CollaborativeLeadership:
    • Empower theteam and provide purpose and direction
    • Develop people provide feedback and care toemployee wellbeing
    • Collaborate and exchange best practice.
    Entrepreneurship:
    • Act on opportunities anticipatetrends take risk and promote a culture that allows for honestfailure
    • Take ownershipand responsibility
    • Embrace innovation and a culture that allows to makedecisions without fear of retribution.
    Trust:
    • Act with integrity honor commitments tell thetruth
    • Foster diversityand inclusivenes
    • Acttransparently and promote corporate socialresponsibility.
    MinimumRequirements:
    • Bachelors of Medicine( MBBS ) or Pharmacy.
    • 2years Medical Practical Experience (reputable insurance providerbroker or a TPA experience a plus).
    • Physically fit to carry out duties.
    • Certified Medical Code
    • Legally permitted to work in thecountry of operations.
    • Fluency in MS Office (Excel Word Outlook PowerPoint) andgeneral internet navigation and research skills


    39937Customer Services & Claims Professional NonExecutiveAllianz Partners FullTime Permanent Allianz Group is one of the most trusted insurance and assetmanagement companies in the world. Caring for our employees theirambitions dreams and challenges is what makes us a unique employer.Together we can build an environment where everyone feels empoweredand has the confidence to explore to grow and shape a better futurefor our customers.
    We at Allianz believe in a diverseand inclusive workforce and are proud to be an equal opportunityemployer. We encourage you to bring your whole self to work nomatter where you are from what you look like who you love or whatyou believe in.
    We therefore welcome applicationsregardless of ethnicity or cultural background age gendernationality religion disability or sexual orientation.
    Join us. Lets care for tomorrow.
    Note: Diversity ofminds is an integral part of Allianz company culture. One means toachieve diverse teams is a regular rotation of Allianz Executiveemployees across functi
    Job Level: Professional Location: Dubai AE Area of Expertise: Customer Services & Claims Unit: Allianz Partners Employing Entity: NEXTCARE ClaimsManagement LLC JobType: FullTime Remote Job: Notapplicable Employment Type: Permanent ID: Position Cluster: NonExecutive
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