Manager - Claims Risk Management - Health Insurance

Risk Assessment: - Analyze statistical data to estimate the probability and financial impact of future healthcare events. - Evaluate the financial risks associated with health insurance policies and medical treatments. - Policy Design and Pricing: - Price health insurance products, ensuring they are competitive and financially viable. - Data Analysis and...

**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...

As the Insurance Manager at GluCare, you will be responsible for overseeing and managing the insurance operations within the company. Your primary objective will be to ensure that all insurance-related processes are efficient, compliant, and meet the organization's risk management needs. You will play a crucial role in assessing insurance requirements,...

Job Description:We are seeking a highly skilled Risk Management Specialist to join our team at Leading Edge in Dubai. In this role, you will be responsible for assessing and managing motor insurance risks, ensuring compliance with company policies and market standards.Key Responsibilities:Assess and underwrite motor insurance risks in line with company...

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...

**Job Summary** Zurich Middle East is part of Zurich Insurance Group, one of the world’s largest and most experienced insurers. Our mission is to help our local community understand and protect themselves from risk both locally and globally.- As a member of the Middle East Risk Management team and reporting into the Middle East (Country) Chief Risk...

**What we do** The Risk Manager, Health, is primarily responsible for overseeing and coordinating Risk Management activities for Allianz Partners Health Line of Business in MEA (headquarter in Dubai, UAE). This includes coordination with other Health LoB Risk Managers to ensure compliance with the Allianz Partners’ Risk Management framework. The role also...

**Role Overview**: The Operations Executive will play a pivotal role in managing and streamlining the underwriting and claims processes for non-motor general insurance products, including property, liability, marine, travel, and others. This position requires a detail-oriented professional with a solid understanding of non-motor insurance operations,...

Leading Health Care Provider in UAE looking for Insurance Managers to manage the revenue cycle. The Insurance Manager - Health Care is responsible for overseeing insurance operations in a healthcare facility. They develop and implement insurance policies, handle claims processing, and ensure compliance with industry regulations. Responsibilities: Develop...

We are seeking a highly skilled Motor Insurance Underwriter to join our client's team in Dubai. In this role, you will be responsible for assessing and managing motor insurance risks, ensuring compliance with company policies and market standards. You will work closely with clients and partners to provide customized underwriting solutions and contribute to...

**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 looking to hire a persistent **Underwriter of General Insurance (Insurance Law Suggester) (6 - 8 Years experience) **for a well-established **Group of Companies and industries **to join our technical team in Dubai. Reporting to the Chairman the incumbent will be responsible for the entire general insurance underwriting process through a variety of...

We are seeking a Motor Insurance Underwriting Professional to join our client's team in Dubai. In this role, you will be responsible for assessing and managing motor insurance risks, ensuring compliance with company policies and market standards. You will work closely with clients and partners to provide customized underwriting solutions and contribute...

**Job Summary**: The role involves managing a team, ensuring compliance with regulatory requirements, and contributing to the development of business strategies to achieve organizational goals. Responsible for leading and overseeing the activities related to the administration, underwriting, and claims processing of general insurance policies - property,...

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. **What you do** - Evaluates claims with regards to eligibility and medical necessity if required. - Ensures that insurance claims information is...

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. **What you do** - Evaluates claims with regards to eligibility and medical necessity if required. - Ensures that insurance claims information is...

**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...

**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...

An insurance Manager plays a crucial role in facilitating communication and transactions between clients, insurance companies, and internal departments within an organization. The job description typically includes the following responsibilities: - **Client Communication**: Act as a liaison between clients and insurance providers, addressing inquiries,...