Claims Officer

2 weeks ago


Dubai, United Arab Emirates TPA Full time

A 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 are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.
- Recording and maintaining insurance policy and claims information in a database system.
- Determining policy coverage and calculating claim amounts.
- Processing claims payments.
- Answering queries related to Policy coverage criteria and guidelines.
- Complying with federal, state, and company regulations and policies.
- Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.
- Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.
- Performing other clerical tasks, as required.

**Job Types**: Full-time, Permanent

Pay: AED5,500.00 - AED6,500.00 per month

Ability to commute/relocate:

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

**Education**:

- Bachelor's (preferred)

**Experience**:

- claim’s processor or in a related role.: 2 years (preferred)



  • Dubai, United Arab Emirates Dubai Limited Investment Full time

    We 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...


  • Dubai, United Arab Emirates Alliance Insurance P.S.C Full time

    A leading insurance company is looking for Life Insurance Claims Officer to ensures delivery of efficient claim services to insured clients. **Role & Responsibilities**: - Responsible for evaluating group and individual life claims. Utilize in-depth knowledge of risk factors, market trends, and regulatory practices to evaluate the validity of claims. -...


  • 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...


  • Dubai, United Arab Emirates TPA Full time

    A 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...


  • dubai, United Arab Emirates Allianz Partners Full time

    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...


  • Dubai, United Arab Emirates TPA Full time

    A 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...

  • Claims Intern

    1 month ago


    Dubai, United Arab Emirates RGA Full time

    **Position Overview** **Responsibilities** - Tracking of claims bordereaux (Health and Life) with clients/ Raptor Team - Uploading of claims on Onbase and assigning it to the Claims Assessor. - In -Force check for Life/ Health claims - Tracking of Covid 19 claims - Reconciliation of claims diary with claims bordereaux. - Pending claims Analysis - Responding...


  • Dubai, United Arab Emirates Allianz Partners Full time

    **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...


  • Dubai, United Arab Emirates Allianz Partners Full time

    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.Attends calls and e-mails from insurance companies, clients, and...

  • Claims Executive

    2 days ago


    dubai, United Arab Emirates Gulf Agency Company Full time

    GAC Dubai is looking for candidates for the role of Claims Executiveto be based in Dubai. Could it be you?The key responsibility of the Claims Executive is to handle P&I Principals’ claims promptly, professionally, and effectively. This position plays a vital role in the department by taking care of insurance claims and generating income to meet...

  • Claims Assessor

    1 month ago


    Dubai, United Arab Emirates Bupa Full time

    **Claims Assessors** **Dubai, UAE** **Hybrid working - 4 days working from home, 1 day in the office** **Permanent** **6 hours per day, 5 days per week** Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve. You’ll find an inclusive environment where you can...


  • 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...


  • Dubai, United Arab Emirates Allianz Partners Full time

    Manages routine daily claimsadministration work.Coordinates work flow& meet deadlines.Evaluates claims withregards to eligibility.Takes decisions on highcost and complicated cases based on standard operatingprocedures.Handles InternationalPreauthorization cases as required.Attendscalls and e-mails from insurance companies, clients, andproviders.Coordinates...


  • Dubai, United Arab Emirates Allianz Partners Full time

    Assesses approval of medical approvals as well as policy use.Check particular treatment plan is necessary for the patient.Inputs verbal and written claims approvals regularly.Decide approvals as per policy conditions.Assess high-cost claims and provide decisions on high-cost and complicated cases.Provide clear feedback on queries from call Centre...


  • dubai, United Arab Emirates Allianz Partners Full time

    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...

  • Claims Executive

    1 month ago


    Dubai, United Arab Emirates Experts Plus Recruitment Services Full time

    The hiring company is a large conglomerate based in Dubai. Contract Duration**:March 23 to May 30, 2023** Preferably with Own Visa, Husband, Father's Visa or Freelance **Responsibilities**: - Follow up with insurance company - Communication with customers for survey - Inhouse communication with team - Fluent communication in English and hands on...


  • Dubai, United Arab Emirates FORT EQUITY CLAIMS RECOVERY SERVICES Full time

    We are looking for a reliable **Debt collector** to contact debtors and claim outstanding debts towards their creditors. You will be responsible for recovering the money owed in as little time as possible. This position can be stressful and difficult. A debt collector will have to be polite and sensitive towards people while also remaining committed to...


  • Dubai, United Arab Emirates Bupa Full time

    **Claims Service Manager** **Dubai, UAE** **Hybrid working** **Permanent** Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve. You’ll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose - helping people...


  • Dubai, United Arab Emirates Allianz Partners Full time

    **Summary** The Medical Claims - Assessor will provide quality service to clients by promptly and effectively assessing and processing 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. -...


  • Dubai, United Arab Emirates Naffco Electromechanical LLC Full time

    Assist in processing insurance claims for general lines, including property, casualty, and liability claimsReview and verify claim information to ensure accuracy and completenessCommunicate with policyholders, insurance agents, and third-party vendors to gather necessary documentation and informationMaintain accurate and up-to-date records of claim status...