Medical Claims Officer
NEW
REF 1876408
25 hours ago | Dubai | full time
- General
- Location: Dubai
- Occupancy: full time
- Description
- Reviewing and processing medical claims, including verifying eligibility, assessing costs, and ensuring accuracy according to policy terms.
Eligibility Verification:
Determining if a claim is eligible for coverage based on policy terms and conditions.
Cost Assessment:
Evaluating the cost of medical services and procedures to ensure they are reasonable and within policy limits.
Coordination:
Communicating with insurance companies, healthcare providers, and clients to clarify information, resolve issues, and facilitate claim processing.
Decision Making:
Making informed decisions on complex or high-cost claims based on established guidelines and procedures.
Documentation:
Maintaining accurate and up-to-date records of all claims, communications, and decisions.
Policy Interpretation:
Interpreting and applying insurance policy language to ensure claims are processed fairly and accurately.
Reporting:
Preparing reports on claims activity, trends, and issues.
Compliance:
Ensuring all claims processing activities comply with relevant regulations and company policies.
- Requirements
- Experience: 3 years
- Bachelor degree
- CV
- Provisions
- Salary: to be discussed
- Employment visa provided
- Transportation provided
- Housing provided
- Medical insurance provided
- Publisher
- MISPAH PIPELINE INSPECTION SERVICES L.L.C
- direct employer
- 51 - 200 employees