Medical Insurance Claims Executive

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...

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...

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...

**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...

Your Role: Medical Claims Executive - Evaluate claims (Network & Direct), provide authorizations for insured members (in-patient & outpatient) and handle calls relating to medical cases efficiently. - Managing all the members approval/claims and following up with insurance companies/TPAs to get approval within the TAT. - Assisting our clients for...

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...

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...

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...

We need an experienced Medical Insurance Underwriter at Insurance Brokers. Should have experience to handle EB group medical insurance policies. Efficient in handling medical insurance claims & customer service. Should have professional communication skills to communicate with insurance companies as well as with clients. Immediate Joining. **Salary**:...

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. -...

Job Responsibilities: - Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements - Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization. - Acts as a liaison between the organization,...

Analyses claims and decide whether they are covered by policy - Make recommendations for the settlement of claims - Inform clients if claims are accepted and how they will be allocated - Organize payments to clients and repair or replacement of lost items - Make sure all enquiries and payments are dealt with quickly - Appoint insurance loss adjusters and...

Job Summary: As a Medical Coder Insurance Coordinator, you will be responsible for assigning appropriate medical codes to procedures and diagnoses, ensuring compliance with coding guidelines and regulations. Additionally, you will manage insurance claims, verify patient insurance coverage, and handle billing processes to facilitate timely and accurate...

Job Responsibilities: 1) Endorsement in the current Insurance Policy. 2) Communication between Clients and Insurance Companies. 3) Pressure handling capacity, Strong technical Skills in MS Office. 4) Follow up on the delivery and claim related issues. 5) Having in-depth knowledge regarding processing and coordination of targets and deadlines. 6)...

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...

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 plusPay: Up to AED3,500.00 per monthApplication Question(s): Do you have minimum 2 years experience in claim processing ?

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...

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...

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...