- Assesses approval of medicalapprovals as well as policy use.
- Checkstreatment plan is necessary for thepatient.
- Inputs verbal and written claimsapprovals regularly.
- Decides approvals as perpolicy conditions.
- Assess high-cost claims andprovide decision on high cost and complicatedcases.
- Provides clear feedback on queries fromcall Centre team.
- Provides clients anunderstanding of any declined medicalclaims.
- Coordinates workflow & meetdeadlines.
- Evaluates claims with regards toeligibility.
- Bachelor ofMedicinePharmacyDentistry.
- 2+ years MedicalPractical Experience (reputable insurance provider, broker or a TPAexperience a plus).
- Legally permitted to workin the country of operations.
- Fluency in MSOffice (Excel, Word, Outlook, PowerPoint) and general internetnavigation and research skills.
- Strong verbaland written communication skills.
- Showflexibility, excellent interpersonalskills.
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Reimbursement Officer - Dubai, United Arab Emirates - Allianz Partners
Description
Requirements
Tobe successful in this position you will need to have the followingskills/ experience: