Medical Claims Officer

REF 1690038

12.12.2024 | Abu Dhabi | full time

Description: We are looking for a Medical Claims Officer to join our team.

Medical Claims Officer Responsibilities:

-Examine 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 settlements are deemed non-negotiable.
-Complete logs, reports, forms and records to properly document medical claims.
-Reject or accept documentation, determine benefit due, and start the denial or payment process to resolve medical claims.
-Adhere to all company policies, procedures and guidelines in addition to insurance regulations at the federal and state level.
-Examine medical treatment records, police reports, physical property damage and medical bills to gauge overall extent of liability.

Requirements: At least a bachelor’s degree
At least three years of experience working in the medical field
At least two years of experience as a medical claims officer