Insurance Manager

4 months ago


Dubai, United Arab Emirates GMC CLINICS DUBAI Full time

A well-established, leading Group of clinics in Dubai is looking for a Clinic Insurance Manager to join their highly professional team on a full-time basis.

Responsible for the insurance function with the objective of streamlining the process of patient insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction. Responsible for overseeing the insurance operations and designing, implementing and training staff on insurance protocols.

Duties and Responsibilities:

- Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made and contracts awarded.
- Insurance policies implemented after the agreement is signed.
- Follow up and negotiations with Insurance Companies where needed to ensure approval of problematic cases.
- Exhausted benefits identified in close liaison with re-submission team to ensure maximum recovery from Insurance companies.
- Insurance protocols complied with at all times.
- Disallowance reconciliation and mutual settlement coordinated with Insurance Companies.
- Insurance disallowance write-offs coordinated with Accounts Receivables department after proper reconciliation.
- Disallowance reasons evaluated, improvement areas identified and changes implemented.
- Submission of Insurance department statistics on a monthly basis.
- Work distribution within insurance team/coaching of insurance team members.
- management of regional operational insurance programs (property-business interruption, third-party liability) - including service agreements with brokers.
- Preparation of detailed considered budgets for assets in operation and projects under development.
- Establish, communicate and manage goals and expectations for the department and individual performance.
- Plan and facilitate effective team meetings to share important customer or product knowledge resulting in improved communication and proactive resolution to customer inquiries.
- Regularly review outstanding claims and liaise with the Management/Finance Department to ensure the adequacy of claim reserves.
- Control and monitor the appointment of Loss Adjusters and carry out minor surveys.
- Prepare all statistics required by Management including Claim cost, Average Claim Ratio.
- Achieve monthly team targets in terms of claims processed. Communicate with other department managers pertaining to issues related to claims processing and vice versa.
- Empanelment of new insurance companies and negotiation of prices.

**Requirements**:
Ability to commute/relocate:

- Dubai: Reliably commute or planning to relocate before starting work (required)

Application Question(s):

- Availability to join?

**Experience**:

- Healthcare: 5 years (preferred)
- Insurance Manager: 5 years (preferred)


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