Reimbursement Officer

2 weeks ago


Dubai, Dubai, United Arab Emirates Allianz Partners Full time

Job Responsibilities:

  • Assesses and approves medical requests as per policy guidelines.
  • Ensures treatment plan necessity for patients.
  • Regularly processes verbal and written claims approvals.
  • Makes decisions on approvals based on policy terms.
  • Evaluates high-cost claims and handles complex cases.
  • Offers clear responses to inquiries from the call center team.
  • Explains declined medical claims to clients.
  • Manages workflow efficiently to meet deadlines.
  • Assesses claim eligibility.

Requirements:

  • Bachelor's degree in Medicine, Pharmacy, or Dentistry.
  • Minimum of 2 years of Medical Practice Experience (experience with a reputable insurance provider, broker, or a TPA is a plus).
  • Legally eligible to work in the operating country.
  • Proficient in MS Office (Excel, Word, Outlook, PowerPoint) and general internet research and navigation.
  • Excellent verbal and written communication skills.
  • Display flexibility and strong interpersonal abilities.


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