![Allianz Partners](https://media.trabajo.org/img/noimg.jpg)
Medical Claims Officer
4 days ago
**SUMMARY**
The Senior Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.
**MAIN TASKS**
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility.
Takes decisions on high cost and complicated cases based on standard operating procedures.
Handles International Preauthorization cases as required.
Coordinates with international providers for direct billing.
Makes suggestions to improve service.
Increases efficiency, minimizes errors and administration time.
**BEHAVIORAL REQUIREMENTS**
Organizational & time management skills.
Excellent team player.
Ability to work well with all levels of internal management and staff, as well as outside clients and users.
Ability to demonstrate sound work ethics.
Show flexibility with excellent interpersonal skills.
The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.
**BEHAVIORAL COMPETENCY**
Customer & Market Excellence:
Strive for excellence at every touch point with the customer
Foster state-of-art technical/operational knowledge and strive for continuous simplification
Be the benchmark
Collaborative Leadership:
Empower the team and provide purpose and direction
Develop people, provide feedback and care to employee wellbeing
Collaborate and exchange best practice.
Entrepreneurship:
Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure
Take ownership and responsibility
Embrace innovation and a culture that allows to make decisions without fear of retribution.
Trust:
Act with integrity, honor commitments, tell the truth
Foster diversity and inclusiveness
Act transparently and promote corporate social responsibility.
**MINIMUM REQUIREMENTS**
Bachelor’s of Medicine (MBBS)
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
Physically fit to carry out duties.
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
42374 | Operations | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams, and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and shape a better future for our customers.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
Join us. Let's care for tomorrow.
Note: Diversity of minds is an integral part of Allianz' company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to be motivated in gaining varied skills from different positions and to collect experiences from across Allianz Group.
**Job Level**:
Professional
**Location**:
- Dubai, AE**Area of Expertise**:
Operations
**Unit**:
Allianz Partners
**Employing Entity**:
NEXTCARE Claims Management LLC
**Job Type**:
Full-Time
**Remote Job**:
Not applicable
**Employment Type**:
Permanent
**ID**:
42374
**Position Cluster**:
Non-Executive
-
Medical Claims Officer
3 weeks ago
Dubai, United Arab Emirates Dubai Limited Investment Full timeWe are immediately hiring a Medical Claims Officer for our TPA Almadallah Healthcare Must have 5+ years experience in Medical Insurance/TPA experience as a Medical Claims Officer Qualification-MBBS (mandatory) Salary-8000-9000 AED/month Preference for immediate joiners Pay: AED9,000.00 - AED10,000.00 per month **Experience**: - TPA/Insurance: 1 year...
-
Medical Claims Officer
3 weeks ago
Dubai, United Arab Emirates Dubai Limited Investment Full timeWe are immediately hiring a Medical Claims Officer for our TPA Almadallah Healthcare Must have 5+ years experience in Medical Insurance/TPA experience as a Medical Claims Officer Qualification-MBBS (mandatory) Salary-8000-9000 AED/month Preference for immediate joiners Pay: AED8,000.00 - AED9,000.00 per month Application Question(s): - Do you have...
-
Medical Claims Officer
1 week ago
Dubai, Dubai, United Arab Emirates Allianz Partners Full timeSummaryThe 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 Officer
3 weeks ago
Dubai, United Arab Emirates Commercial Insurance Brokerage Services LLC Full timeOur 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...
-
Medical Claims Officer
2 weeks ago
Dubai, United Arab Emirates Allianz Partners Full time**Summary** The Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **Main Tasks** - Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions. - Checks particular treatment plan is necessary for the...
-
Medical Claims Officer
2 weeks ago
Dubai, United Arab Emirates Allianz Partners Full time**Summary** The Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **Main Tasks** - Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions. - Checks particular treatment plan is necessary for the...
-
Medical Claims Senior Claims Officer
1 week ago
Dubai, Dubai, United Arab Emirates Allianz Partners Full timeMedical 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...
-
Medical Insurance Claims Officer
2 months ago
Dubai, United Arab Emirates TASCoutsourcing Full timeExamine 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...
-
Medical Claims Officer
3 weeks ago
Dubai, United Arab Emirates Sav Full time1. Evaluating medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the cases. 5. To liaise with internal stakeholders...
-
Medical Claims Officer
4 weeks ago
Dubai, United Arab Emirates Sav Full timeInsurance / TPA experience is an advantage. 1. Evaluate medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the...
-
Medical Claims Officer
1 week ago
Dubai, Dubai, United Arab Emirates Commercial Insurance Brokerage Services LLC Full timeOur 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...
-
Medical Claims Officer
1 week ago
Dubai, United Arab Emirates Earnest Insurance Brokers Full timeResolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. - Establishes proof of loss by checking medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating...
-
Medical Claims Officers
2 months ago
Dubai, United Arab Emirates Allianz Partners Full time**Summary** The 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...
-
Medical Claims Officer
1 week ago
Dubai, Dubai, United Arab Emirates Sav Full timeInsurance / 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...
-
Medical Coder
4 weeks ago
Dubai, United Arab Emirates Biosytech Medical Laboratory Full timeMinimum 3+ years experience in a similar role. - Bachelor’s Degree in any stream - Specialist in the area of claim resubmissions & reconciliations. - Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate - Fluency in English (speak, read and write). Arabic speaking skills will be an added advantage. - Computer Literacy skills are required. -...
-
Medical Claims Officer
3 weeks ago
Dubai, United Arab Emirates Allianz Partners Full time**Summary** The 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...
-
Medical Claims Supervisor
2 weeks ago
Dubai, United Arab Emirates NATIONAL GENERAL INSURANCE CO (PSC) Full time**Job Designation **:Medical Claims Supervisor **Job Location** : NGI- Head Office **Responsibilities** - Responsible for the screening of claims to ensure cost containment, medical necessity, and check for fraudulent activity. - Screen all claims (e-claims and paper claims) in a proper and aggressive manner for all hospitals, clinics, and pharmacies for...
-
Claims Officer
3 weeks ago
Dubai, United Arab Emirates TPA Full timeA medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...
-
Medical Claims Lead
3 weeks ago
Dubai, United Arab Emirates Allianz Partners Full timeThe Medical Claims - Team Lead will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards. Team Leader will evaluate complicated pre-authorization claims, medical evaluations, direct claims coverage, errors, and claims turn-around time and process queries to achieve...
-
Medical Claims Officer
1 week ago
Dubai, Dubai, United Arab Emirates Allianz Popular SL. Full timePress 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 Employment Type: Permanent ID: 44265 SUMMARYThe Medical Claims Officer will provide quality service to clients, promptly and effectively assesses...