Claims Executive

Your Role: Medical Claims Executive - Evaluate claims (Network & Direct), provide authorizations for insured members (in-patient & outpatient) and handle calls relating to medical cases efficiently. - Managing all the members approval/claims and following up with insurance companies/TPAs to get approval within the TAT. - Assisting our clients for...

**Medical Claims Executive** **Job description**Responsibilities: - Analyze and investigate complicated insurance claims to help prevent fraud. - Perform detailed site inspections. - If necessary, provide well-informed court testimonies. - Review and process new claims reports and court verdicts. - Uphold relationships and communication with insurance...

Claims Advocate **Company**: Marsh **Description**: **What you can expect**: Deliver and contribute to the Claims Advocacy service across IMEA, ensuring prompt, efficient and effective claims support and project management for strategic clients in E&P, Construction. In the immediate term the role requires the advocate to provide direct core claims...

**Role** The Operations Executive monitors a ship schedule and its status before arrival at the ports, the delivery and re-delivery notices for ships and arranges for freight / hire payments. You liaise with charterers and owners and conducts negotiations with a view to addressing differences and resolving shipment issues and ensures timely payment of...

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. 2. Investigation and Documentation - Understanding the claim scenario / circumstance and guiding the client(s) as per the policy coverage & the...

**_Job Description:_**: - _Reception, processing and registration of customer complaints by phone, mail;_ - _Resolving disputed situations, making decisions on compensation;_ - _Ensuring compliance with the deadlines for consideration of complaints;_ - _Interaction with related departments on issues related to work with customer complaints;_ - _Collection...

**JOB DETAILS** The role of Claims Officer involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures. **KEY...

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...

What you can expect: Deliver and contribute to the Claims Advocacy service across IMEA, ensuring prompt, efficient and effective claims support and project management for strategic clients in E&P, Construction.In the immediate term the role requires the advocate to provide direct core claims handling service on claims of all types with particular focus on...

What you can expect: Deliver and contribute to the Claims Advocacy service across IMEA, ensuring prompt, efficient and effective claims support and project management for strategic clients in E&P, Construction.In the immediate term the role requires the advocate to provide direct core claims handling service on claims of all types with particular focus on...

_Job Description:_:- _Reception, processing and registration of customer complaints by phone, mail;_- _Resolving disputed situations, making decisions on compensation;_- _Ensuring compliance with the deadlines for consideration of complaints;_- _Interaction with related departments on issues related to work with customer complaints;_- _Collection and...

The 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...

**SUMMARY** The Claims Management - Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards for direct type of claims**.** **MAIN TASKS** Evaluates claims with regards to eligibility and medical necessity if required. Ensures that insurance claims...

**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...

We are on the lookout for a dynamic Non-Motor Claims Executive. If you are great at handling various non-motor insurance claims, ensuring accurate documentation, and negotiating the best outcomes for clients, we want you. You'll play a key role in keeping our clients happy, supporting different departments with claims questions, and keeping the COO in the...

Urgently require P&I claims executive for our team in Dubai **Responsibilities**: - Achieve set financial target every month and follow up on outstanding payments - Handle marine incidents and claims from initial notification to conclusion - Read and respond to all correspondence and incoming mails from Principals and Members - Give accurate information...

We are on the lookout for a dynamic Non-Motor Claims Executive. If you are great at handling various non-motor insurance claims, ensuring accurate documentation, and negotiating the best outcomes for clients, we want you. You'll play a key role in keeping our clients happy, supporting different departments with claims questions, and keeping the COO in the...

**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...

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.• Evaluates claims with regards to eligibility.• Takes decisions on high cost and complicated cases based on...

Summary: Medical Claims Officer - Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.Main Tasks: Performing complete file review of high cost claims with regards to the multidisciplinary notes, TPR charts, physician order's...