Nurse - Claims Officer - Insurance

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. -...

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...

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...

Our company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer 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** - Evaluates and processes claims in accordance with...

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...

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 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...

Our company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer 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 Evaluates and processes claims in accordance with insurance...

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...

**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...

Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. - Establishes proof of loss by checking medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating...

Insurance / TPA experience is an advantage. 1. Evaluate medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the...

1. Evaluating medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the cases. 5. To liaise with internal stakeholders...

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...

1. Reviewing motor insurance claims and confirming the liability.Well-familiar with the rules and regulations of the unified motor insurancepolicy.Experienced in bodily injury cases.Updating personal claims register.Ensuring the claim file is complete and has the required documents.Intimating other insurance companies once liability is confirmed.Liaising...

Responsible for handling all non-motor general insurance claims including but not limited to: - Coordinating with clients and assisting with registering and preparing documents for property, casualty, business interruption, marine, financial lines, and other general insurance claims including evaluating coverage, offering guidance on claims and risk...

Insurance / TPA experience is an advantage.Evaluate medical claims associated with bodily injuries due to a motor accident.Medically audit in-patient claim requests and ensure that procedures are withinindustry standards.Experience with working on Mednext system.Liaise with network providers and follow up on the progression of the cases.To liaise with...

**Profile: - Submission & Pre-Approval** Primary Responsibilities: - Preapproval and Precertification for claims requiring approval. - Monitoring and follow up on prior authorization for outpatient services. - Evaluate the Pre-Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the...

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...

Insurance Claims Assistant - General Lines in Dubai - United Arab Emirates (UAE) **Experience**: 2 - 5 yrs. | Opening: 1 **Education**: Any Graduation **Nationality**: Any Nationality **Industry Type**: Industrial Products / Heavy Machinery **Salary**: AED 3,500 - 4,000 ($946 - $1,081) **Other Benefits**: Medical Insurance, Paid Leaves, Visa, Accomodation,...