Medical Claims Assessor

**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. Reporting to the Head of Retail Claims, The Claims Assessor will support the claims team by following Zurich's...

Claims Assessor Dubai, UAE Permanent Hybrid working options available Full time 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...

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...

**Claims Assessors** **Dubai, UAE** **Hybrid working - 4 days working from home, 1 day in the office** **Permanent** **6 hours per day, 5 days per week** 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...

**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...

**Position Overview** **Responsibilities** - Tracking of claims bordereaux (Health and Life) with clients/ Raptor Team - Uploading of claims on Onbase and assigning it to the Claims Assessor. - In -Force check for Life/ Health claims - Tracking of Covid 19 claims - Reconciliation of claims diary with claims bordereaux. - Pending claims Analysis - Responding...

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah Healthcare Medical/Paramedical background with good medical coding & data analysis skills Conduct data driven onsite audits to healthcare providers Checking & evaluating accurately the medical records and related documents of the medical claims to identify any...

**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...

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...

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...

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...

Minimum 3+ years experience in a similar role. - Bachelor’s Degree in any stream - Specialist in the area of claim resubmissions & reconciliations. - Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate - Fluency in English (speak, read and write). Arabic speaking skills will be an added advantage. - Computer Literacy skills are required. -...

Immediately hiring Medical Claims Processor Must have 1-3 years experience in TPA/Insurance Medical Coding experience is an advantage Salary-4600 AED/month Pay: AED4,600.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required) Application Question(s): - Do you have Nursing/Pharmacy...

We are immediately hiring Medical Claims Processor for insurance TPA - CPT coding system and agreed tariff. - Communicate any of the diagnostic and treatment data to payers and plan to assist patients in obtaining benefits. - Facilitate analysis of an insured member to improve care, delivery, and efficiency of operations to contain costs. - Accurately post...

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...

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...

Our client is one of the leading insurance company in the UAE. They are looking to hire a temporary Medical Claims Assistant to join their team. - An insurance & medical background particularly in handling claims - 2-3 year’s post degree UAE experience - Microsoft Excel skills - Good Office Administrative & Customer Service background - Good command in...

Experienced in Medical Claims Auditor in the insurance or TPA. - Coordinate with the providers or payers in case of mismatch between the provided statement of account and actual invoice submission. External Audit: Auditing the providers (Medical Documentation and Billing) - Updating the external audit report to the management - Auditing the In-patient,...

Our client is one of the leading insurance company in the UAE. They are looking to hire a temporary Medical Claims Assistant to join their team. - An insurance & medical background particularly in handling claims - 2-3 year’s post degree UAE experience - Microsoft Excel skills - Good Office Administrative & Customer Service background - Good command in...