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Medical Claims Officer
7 days ago
Resolves 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 or conducting investigation of questionable claims.
- Documents medical claims actions by completing forms, reports, logs, and records.
- Determines covered medical insurance losses by studying provisions of policy or certificate.
- Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
- Maintains quality customer services by following customer service practices, responding to customer inquiries.
- Provides legal support by assembling documentation for settlement action.
- Protects operations by keeping claims information confidential.
- Prepares reports by collecting, analyzing, and summarizing information
**Job Types**: Full-time, Permanent
Application Deadline: 07/06/2024
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Medical Claims Officer
2 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...
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Medical Claims Officer
2 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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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Medical Claims Officer
3 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...
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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...
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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...
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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...
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Medical Claims Officer
2 days ago
Dubai, United Arab Emirates Allianz Partners Full time**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...
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Medical Coder
3 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. -...
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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...
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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...
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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...
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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...
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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...