- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Evaluates claims with regards to eligibility.
- Takes decisions on high cost and complicated cases based on standard operating procedures.
- Handles International Preauthorization cases as required.
- Attends calls and e-mails from insurance companies, clients, and providers.
- Coordinates with international providers for direct billing.
- Makes suggestions to improve service.
- Increases efficiency, minimizes errors and administration time.
- Organizational & time management skills.
- Excellent team player.
- Ability to work well with all levels of internal management and staff, as well as outside clients and users.
- Ability to demonstrate sound work ethics.
- Show flexibility with excellent interpersonal skills.
- The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
- To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
- The ability to exercise initiatives and be able to work f
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Claims Officer
7 hours ago
TPA Dubai, United Arab EmiratesA medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. · - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. · - In addition, a processor must keep metic ...
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Claims Officer
2 days ago
TPA Dubai, United Arab EmiratesA medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. · - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. · - In addition, a processor must keep metic ...
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Claims Officer
2 days ago
TPA Dubai, United Arab Emirates**1.** **JOB PURPOSE** · THE JOBHOLDER SERVES PROVIDERS AND INSURANCE COMPANIES BY DETERMINING REQUIREMENTS, ANSWERING INQUIRIES, RESOLVING PROBLEMS, FULFILLING REQUESTS AND MAINTAINING DATABASE. HE / SHE SHOULD PROVIDE ACCURATE AND RELEVANT MEDICAL COVERAGE DETAILS, MAINTAIN REI ...
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Medical Claims Officers
4 days ago
Allianz Partners Dubai, United Arab Emirates**Summary** · The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team K ...
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Medical Claims Officer
1 day ago
Allianz Partners Dubai, United Arab Emirates**Summary** · The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team K ...
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Medical Claims Officer
2 days ago
Commercial Insurance Brokerage Services LLC Dubai, United Arab EmiratesOur company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer to join our technical team in Dubai. Reporting to the General Manger the incumbent will be responsible for the entire medical underwriting process through a variety of technical tasks. ...
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Medical Claims Officer
3 days ago
Sav Dubai, United Arab EmiratesInsurance / TPA experience is an advantage. · 1. Evaluate medical claims associated with bodily injuries due to a motor accident. · 2. Medically audit in-patient claim requests and ensure that procedures are within · industry standards. · 3. Experience with working on Mednext sys ...
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Medical Claims Officer
2 days ago
Sav Dubai, United Arab Emirates1. Evaluating medical claims associated with bodily injuries due to a motor accident. · 2. Medically audit in-patient claim requests and ensure that procedures are within · industry standards. · 3. Experience with working on Mednext system. · 4. Liaise with network providers and ...
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Medical Insurance Claims Officer
4 days ago
TASCoutsourcing Dubai, United Arab EmiratesExamine claims records and forms to determine whether the patient has medical insurance. · - Review provisions of certificate or policy to determine the patient's included medical coverage losses. · - Negotiate claim settlements and make recommendations for legal action when sett ...
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Nurse - Claims Officer - Insurance
1 day ago
TPA Dubai, United Arab EmiratesA medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. · - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. · - In addition, a processor must keep metic ...
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Fire and Miscellaneous Claims Officer
1 day ago
ARMAB Insurance Works LLC Dubai, United Arab Emirates**ARMAB INSURANCE WORKS LLC (Chief Agents, Dubai for **_**The Oriental Insurance Company Limited**_**)*, an International General Insurer is recruiting **SENIOR ASSOCIATE OFFICER* for Fire, Miscellaneous & Marine Claims Department. · R**equirements**: Age Years; Holding Bachelor' ...
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Medical Claims Officer-tpa Insurance
4 days ago
Dubai Limited Investments Dubai, United Arab EmiratesWe are immediately hiring a Medical Claims Officer · Must have 1-3 years of experience in TPA/Insurance · Must be MBBS Doctor who has experience in IP approval · Salary-10000 AED/month · **Salary**: AED10,000.00 per month · Ability to commute/relocate: · - Dubai: Reliably commute ...
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Medical Claims Senior Claims Officer
6 days ago
Allianz Partners Dubai, United Arab EmiratesManages routine daily claimsadministration work. · Coordinates work flow& meet deadlines. · Evaluates claims withregards to eligibility. · Takes decisions on highcost and complicated cases based on standard operatingprocedures. · Handles InternationalPreauthorization cases as req ...
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Allianz Partners Dubai, United Arab EmiratesAssesses approval of medical approvals as well as policy use. · Check particular treatment plan is necessary for the patient. · Inputs verbal and written claims approvals regularly. · Decide approvals as per policy conditions. · Assess high-cost claims and provide decisions on hi ...
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Demurrage Supervisor
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Spinnaker Global Dubai, United Arab EmiratesWe are currently working with an international tanker owner who are looking to hire a Demurrage Supervisor to join their team in Dubai. · Job description: · - Monitoring vessels in coordination with ship operators for demurrage for charterers account · - Calculate demurrage claim ...
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Assistant Safety Officer/document Controller
3 days ago
NMC Healthcare Dubai, United Arab EmiratesTo perform filing, photo copying insurance companies claim forms and reports, filing JV, payment voucher, daily HMS report and to perform related duties as assigned. · - Filling all the copy of the invoice insurance company wise. · - Arranging file from MRD room to attach copy of ...
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Assistant Manager
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Al Tayer Group Dubai, United Arab EmiratesATG Head Office & Consolidation · - Manage ATG Head Office accounts · - Perform monthly consolidation for the Group · - Preparation of monthly financial consolidated reporting (Financial Statements format) · - HO Actual reporting and monitoring · - HO Budget & Forecast · - Head O ...
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Cpo & Enforcement Bailiff
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DIFC Courts Dubai, United Arab EmiratesWe have an exciting new vacancy for a **Case Progression Officer & Enforcement Bailiff** (UAE Nationals only) at the DIFC Courts. We are looking for an individual with a passion for judicial excellence, attention to detail, and an enthusiastic positive attitude. · As our new **Ca ...
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Medical Claims Assessor
4 days ago
Allianz Partners Dubai, United Arab Emirates**Summary**: · Medical Claims Officer - Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met. · **Main Tasks**: · - Performing complete file revi ...
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Marine Surveyor, UAE
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Advanta Global Services Dubai, United Arab EmiratesDubai, UAE · - Competitive salary and package (dependent on qualifications and experience) · - Permanent with 6 months' probation period · - Full time · **Advanta Global Services** · Established in 2003, Advanta Global Services provides independent loss adjusting, forensic accoun ...
Medical Claims Senior Claims Officer - Dubai, United Arab Emirates - Allianz Partners
Description
Behavioral Requirements