Medical Insurance Claims Executive
2 weeks ago
**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 departments and clients.
- Organize and present claim review plans.
- Negotiate settlements.
- Resolve claims in a timely manner.
- Stay up-to-date on local, state and federal law changes in the insurance field.
Knowledge required
- 3-5 years of experience in insurance, ideally as a broker
- Knowledge of the insurance and/or insurance broking industries
- Thorough comprehension of the DHA's regulatory framework for the insurance sector
- Knowledge of the health insurance sector and experience with customer service. Uphold relationships and communication with insurance departments and clients.
- The ability to operate under pressure and achieve results in a short period of time.
- Stay up-to-date on local, state and federal law changes in the insurance field.
- Organize and present claim review plans.
- Good understanding of insurance claims negotiation and settlement techniques.
- Resolve claims in a timely manner.
Interpersonal Skills
- Excellent communication and presentation skills in English
- Capable of working under pressure and to short timelines
- Excellent attention to detail and the ability to assess others' work
- Ability to identify areas to improve efficiency, accuracy and analysis and suggest ways of improvement
- Computer Skills (including Microsoft Outlook, Excel, PPT and Word)
**Job Types**: Full-time, Permanent
**Job Types**: Full-time, Permanent
**Salary**: AED3,500.00 - AED5,500.00 per month
Ability to commute/relocate:
- Dubai: Reliably commute or planning to relocate before starting work (preferred)
**Experience**:
- Medical Insurance Claim: 2 years (required)
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