Nurse - Claims Officer - Insurance Tpa

We are immediately hiring a Medical Claims OfficerMust have 1-3 years of experience in TPA/InsuranceMust be MBBS Doctor who has experience in IP approvalSalary-10000 AED/monthSalary: AED10,000.00 per monthAbility to commute/relocate: Dubai: Reliably commute or planning to relocate before starting work (required)Experience: TPA/Insurance (required) IP...

Has wide experience in Health Insurance Claims, worked with Network and overall claims in insurance or TPA companies in the UAE.Paramedical / Medical degree holder and with Insurance exposure.Managerial role. leading a team and with medical knowledge and background.Knowledgeable with Porfolio Management.Job Types:Full-time, PermanentPay: AED20, AED25,000.00...

Our company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer to join our technical team in Dubai. Reporting to the General Manger the incumbent will be responsible for the entire medical underwriting process through a variety of technical tasks.Responsibilities Evaluates and processes claims in accordance with insurance...

1. JOB PURPOSETHE JOBHOLDER SERVES PROVIDERS AND INSURANCE COMPANIES BY DETERMINING REQUIREMENTS, ANSWERING INQUIRIES, RESOLVING PROBLEMS, FULFILLING REQUESTS AND MAINTAINING DATABASE. HE / SHE SHOULD PROVIDE ACCURATE AND RELEVANT MEDICAL COVERAGE DETAILS, MAINTAIN REIMBUSEMENT CLAIMS PROCESSING AND ADJUDICATION CYCLE WITHIN NHS SOFTWARE SYSTEMS AS PER THE...

Insurance / TPA experience is an advantage.Evaluate medical claims associated with bodily injuries due to a motor accident.Medically audit in-patient claim requests and ensure that procedures are withinindustry standards.Experience with working on Mednext system.Liaise with network providers and follow up on the progression of the cases.To liaise with...

> Manages an active caseload of case management cases and provides one on one case management to customers to improve health status, reduce health risks and improve quality of life. Uses clinical knowledge and approved guidelines and tools to assess diagnosis and treatment plans and goals and identifies gaps in care or risks for readmission or complications....

1. Receive and Review Claims Receive incoming motor claim notifications from calls, WhatsApp, mails & internal staff and advise / assist clients based on the situation & required details to process the claim.Investigation and Documentation Understanding the claim scenario / circumstance and guiding the client(s) as per the policy coverage & the extent of...

Medical Claims Senior Claims Officer | Allianz Partners DubaiAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech...

Claims Management Assessor (DOH Claims) | Allianz Partners DubaiAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech...

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah HealthcareMedical/Paramedical background with good medical coding & data analysis skillsConduct data driven onsite audits to healthcare providersChecking & evaluating accurately the medical records and related documents of the medical claims to identify any...

Insurance Co-OrdinatorJob Responsibilities: Be able to independently liaise, coordinate and network through Insurance Companies and TPAs regarding evaluation, processing, empanelment, eligibility, approvals, payments, reconciliation, and other related work. Must be able to train and support Medical and related staff to make sure approvals are obtained and...

Claims Administrator | PlaceUp DubaiAre you having a hard time finding skilled individuals for your team? We are in search of a highly organized and detail-oriented person to join us as a Claims Administrator.In this position, you will be in charge of managing reinvestment processes and approvals, as well as communicating with Third-Party Administrators...

Medical Claims Officer Jobs In Dubai | Allianz PartnersApply AlsoPhysical Education Teacher Jobs In Dubai | SABIS Network Schools UAEThe Case Management Utilization Review Officer is responsible for in managing the High cost cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.Apply Also Field Engineering...

SummaryThe Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team KPIs.Main Tasks Assesses approval of medical approvals as well as policy use. Checks...

Medical Claims Assessor - Inpatient Precert Medical Claims Assessor - Inpatient Precert3+ years medical practical experience (reputable insurance provider, broker or a TPA experience a plus).Knowledge of overall insurance industry practices is a plus.Legally permitted to work in the country of operations.Physically fit to carry out duties.Fluency in MS...

Press Tab to Move to Skip to Content LinkSelect how often (in days) to receive an alert:Select how often (in days) to receive an alert:Employing Entity:NEXTCARE Claims Management LLCJob Type:Full-TimeRemote Job:100% on-siteEmployment Type:PermanentID:44264SummaryThe Medical Claims – Assessor will provide quality service to clients by promptly and...

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah HealthcareMedical/Paramedical background with good medical coding & data analysis skillsConduct data driven onsite audits to healthcare providersChecking & evaluating accurately the medical records and related documents of the medical claims to identify any...

Insurance / TPA experience is an advantage.Evaluate medical claims associated with bodily injuries due to a motor accident.Medically audit in-patient claim requests and ensure that procedures are withinindustry standards.Experience with working on Mednext system.Liaise with network providers and follow up on the progression of the cases.To liaise with...

RESPONSIBILITIES AND DUTIESResearch and follow up on Medical Treatment patterns and conduct utilization reviews for Beneficiaries (Policyholders) & Medical Network providers, Quality control by:§ Being available (On call) 24 hours a day for Claim Centre Officers queries relating to in-patient claims.§ Assess day-care and in-patient cases as per medical...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Employing Entity: NEXTCARE Claims Management LLC Job Type: Full-Time Remote Job: 100% on-site Employment Type: Permanent ID: 44264 SummaryThe Medical Claims – Assessor will provide quality service to clients by...