Nurse - Claims Officer - Insurance

With claims experience in TPA or medical insurance or health care industry in the UAE. Nurse or Pharmacist Can join immediately **Job Types**: Full-time, Permanent Pay: AED6,000.00 - AED7,000.00 per month **Education**: - Bachelor's (preferred) **Experience**: - nursing: 1 year (preferred) - TPA: 1 year (preferred) - Insurance: 1 year (preferred) -...

**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...

**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...

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...

**ARMAB INSURANCE WORKS LLC (Chief Agents, Dubai for **_**The Oriental Insurance Company Limited**_**)*, an International General Insurer is recruiting **SENIOR ASSOCIATE OFFICER* for Fire, Miscellaneous & Marine Claims Department. R**equirements**: Age 30 -35 Years; Holding Bachelor’s degree and Insurance qualification from recognized Insurance Institute...

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...

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...

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...

In coordination with the Revenue Cycle Manager implements standard operating procedures and guidelines for the Insurance Preapprovals. - Obtaining on time authorizations for the facility as required by insurance companies and TPA’s dependent upon the plan coverage for all patients. - Handling rejected preauthorization between the facility and the Insurance...

**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...

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...

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...

**Responsibilities**: - Communicate to administrators any problems with their clients; - Monitor alerts in all registries for all locations; - Send out initial Attending Physician Statements/ Plan of Care for all new clients to the physician office for approval/signature by physician; - Ensure the 4 month follow-up nursing assessment is completed on all...

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...

**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...

As a key member of the Doo Group team, you will play a vital role in our Motor Insurance department. We are seeking a highly skilled and experienced Motor Insurance Underwriter to join our team.Key Responsibilities:Underwriting: Review and analyze client insurance portfolios to identify gaps in coverage, obtain quotes from insurance companies, and negotiate...

**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...

A reputed medical group is looking for an insurance officer. Good knowledge of insurance claim submission and reconciliation is required. **Salary**: AED5,000.00 - AED6,000.00 per month

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...

**What we do** **What you bring** - Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans; - Audit, assess, and monitor providers and payers, to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc. medical...