Medical Claims Officer

REF 1854047

19.07.2025 | Abu Dhabi | full time

Description: 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.
Interview and communicate with claimants, police, witnesses, physicians and other necessary individuals to decide claim denial, settlement or review.
Ensure all claims information remains confidential.
Engage in continuing education and training opportunities when possible.

Provisions: Salary: to be discussed; Employment visa provided; Transportation provided; Housing provided; Medical insurance provided