Medical Insurance Claims Executive

3 months ago


Dubai, United Arab Emirates Earnest Insurance Brokers Full time

**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

Pay: AED3,500.00 - AED5,000.00 per month

Ability to commute/relocate:

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

**Experience**:

- Medical Insurance Claim: 2 years (required)



  • 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 Earnest Insurance Brokers Full time

    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...


  • Dubai, United Arab Emirates TASCoutsourcing Full time

    Examine 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...

  • Uae National

    1 month ago


    Dubai, United Arab Emirates Earnest Insurance Brokers Full time

    Job Description: Receive and Review Claims: Handle incoming motor claim notifications from various channels and assist clients with the required details. Investigation and Documentation: Understand the claim, review relevant documents, and report to the insurer. Policy and Coverage Analysis: Analyze policies to determine coverage limits, exclusions, and...

  • Insurance Executive

    6 months ago


    Dubai, United Arab Emirates Badr Al Samaa Medical Center Full time

    Experienced insurance executive ( Processing) required for a reputed multispecialty medical center in Dubai. - Must have min 2 years experience in claim processing - Coding certification and medical background is a plus Pay: Up to AED3,500.00 per month Application Question(s): - Do you have minimum 2 years experience in claim processing ?


  • Dubai, United Arab Emirates COMMERCIAL INSURANCE BROKERAGE SERVICES LLC Full time

    Our company **Commercial Insurance Brokerage Services** is looking to hire a Medical Underwriter 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** - Deliver against underwriting and financial measures. -...

  • Medical Claims Lead

    7 months ago


    Dubai, United Arab Emirates Allianz Partners Full time

    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...


  • Dubai, United Arab Emirates Commercial Insurance Brokerage Services LLC Full time

    Our company **Commercial Insurance Brokerage Services** is looking to hire a Medical Underwriter 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** - Deliver against underwriting and financial measures. -...


  • 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...

  • Medical Claims Officer

    6 months ago


    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: AED9,000.00 - AED10,000.00 per month **Experience**: - TPA/Insurance: 1 year...

  • Medical Claims Officer

    4 months ago


    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: AED10,000.00 - AED12,000.00 per month **Experience**: - TPA/Insurance: 3 years...

  • Medical Claims Officer

    6 months ago


    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...

  • Insurance Executive

    7 months ago


    Dubai, United Arab Emirates ROYAL SMART LIMOUSINE Full time

    Royal Smart Limousine is a premier luxury transportation company based in Dubai, dedicated to providing top-tier services to our clientele. We maintain a prestigious fleet of vehicles and prioritize the safety, well-being, and satisfaction of both our customers and employees. **Job Summary**: The Insurance Executive will manage and oversee all...


  • Dubai, United Arab Emirates UNIQUE SMILE CLINIC LLC Full time

    _**URGENTLY HIRING MEDICAL INSURANCE COORDINATOR AND ACCOUNTS HANDLING**:_ - **MUST HAVE 2-3 YEARS EXPERIENCE IN MEDICAL FIELD USING ECLAIM PORTAL.**_ - **MUST HAVE EXPERIENCE IN MEDICAL FIELD.**_ **ATLEAST HAVE KNOWLEDGE IN DOING ACCOUNTS TASKS.** - Coordinating, liaising and networking between insurance companies regarding eligibility, payments,...

  • Insurance Executive

    6 months ago


    Dubai, United Arab Emirates Badr Al Samaa Medical Center Full time

    Experienced insurance executive ( Processing) required for a reputed multispecialty medical center in Dubai. - Min 2 years experience in claim processing - Coding certification is a plus **Salary**: Up to AED3,000.00 per month


  • Dubai, United Arab Emirates Dubai Limited Investments Full time

    We are immediately hiring a Medical Claims Officer Must have 1-3 years of experience in TPA/Insurance Must be MBBS Doctor who has experience in IP approval Salary-10000 AED/month Pay: AED8,000.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required)


  • Dubai, United Arab Emirates NH Medical Center - Dubai Full time

    Job description Scopes and requirement as below but not limited to: - Collaborate with insurance companies to acquire and renew policies for clients. - Manage and organize client data to ensure efficient policies. - Monitor policy changes and advise clients accordingly. - Provide clients with regular updates on their policies and coverage. - Answer client...


  • 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 AED/month Preference for immediate joiners Pay: AED8,000.00 per month **Experience**: - TPA/Insurance: 3 years (required) - IP...


  • Dubai, United Arab Emirates Zia Medical Center Full time

    **Job Summary**: The Insurance Submission and Reconciliation Officer with Coding Experience at ZIA Medical Center is responsible for the accurate preparation, submission, and reconciliation of insurance claims. This role requires expertise in medical coding to ensure that all claims are coded correctly and in compliance with applicable regulations. The...


  • Dubai, United Arab Emirates M.A.G Health Clinic Dubai Full time

    **Responsibilities**: - Accurately assign medical codes (ICD-10-CM and CPT/HCPCS) to patient encounters using electronic health records (EHR) and clinical documentation. - Submit complete and accurate insurance claims within established deadlines to maximize reimbursement and minimize claim denials. - Proactively identify and resolve potential claim...