Medical Claims Officer

REF 1810041

23.05.2025 | Abu Dhabi | full time

Description: Our mission is to ensure that customers have access to quality healthcare through our support, care, and commitment to going the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment, and value for our customers.

Summary:

The Medical Claims Officer will provide quality service to clients, promptly and effectively assessing and processing claims and approval according to operations set standards.

Main Tasks:
• Manages routine daily claims administration work.
• Coordinates workflow & meets deadlines.
• Evaluates claims with regard to eligibility.
• Takes decisions on high-cost and complicated cases based on standard operating procedures.
• Handles International pre-authorization 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, and minimizes errors and administration time.

Requirements: Bachelor’s of Medicine (MBBS)
Medical 1 year Practical Experience in UAE claims, DRG claims and coding skills (reputable insurance provider, broker or a TPA experience a plus).

Provisions: Salary: to be discussed; Employment visa provided; Accommodation provided