Insurance Claims Investigator

Key Responsibilities:As a Life Insurance Advisor at Kamalesh Somaia Agency Channel, you will provide expert advice to clients and recommend insurance products that meet their needs.You will serve as an intermediary between insurance companies and clients, ensuring seamless communication and excellent customer service.Your primary goal will be to expand the...

Key Responsibilities:Collaborate closely with sales and brokerage teams to obtain relevant documentation from clients.Screen and assess new applications based on predetermined criteria.Ensure accurate capture of all relevant client information.Investigate clients' medical and claim histories before approving applications.Identify potential risks that could...

Key Responsibilities:Reviewing client requirements to identify suitable insurance solutions.Assessing prominent risks to determine appropriate premium levels.Issuing non-binding insurance quotations to clients.Processing valid insurance claims in a timely manner.Providing expert advice to newly-appointed insurance consultants.Participating in company events...

Key Responsibilities:Receiving and evaluating patient prescriptions and refill requests for accuracy and completeness.Recording and maintaining patient medical histories while adhering to HIPAA regulations.Providing exceptional customer service to patients, addressing inquiries, and referring them to pharmacists for medical information.Verifying patient...

Job Summary: We are seeking a highly skilled HSE Officer to join our team at National Plastic Factory LLC. The successful candidate will be responsible for ensuring compliance with occupational health and safety guidelines, providing guidance on safety topics, and enforcing preventive measures to create a safe workplace.Key Responsibilities:Ensure...

Job SummaryAs a Hospital Registration Coordinator at NMC Hospital, you will be responsible for ensuring a smooth and efficient registration process for outpatients. This includes verifying patient information, maintaining confidentiality, and coordinating with other departments to resolve any queries or issues.Key Responsibilities• Verify patient...

Fleet Operations ManagementThe Fleet Operations Manager at Mobisoft Telesolutions FZE is responsible for ensuring that all fleet operations are in compliance with local and state rules and regulations, as well as RTA laws. This includes maintaining accurate records of all leased/owned vehicles/equipment, tracking oil changes, tire replacements, and periodic...

Job SummaryWe are seeking a highly skilled and experienced Front Office Executive to join our team at Talent Pal. The successful candidate will be responsible for ensuring the satisfaction and comfort of our customers, working in a fast-paced environment, and demonstrating exceptional multitasking abilities.Key ResponsibilitiesFacilitate and coordinate...

Key Responsibilities:Recruitment and Talent Acquisition: Lead end-to-end recruitment processes, including job postings, sourcing, screening, interviewing, and onboarding, to attract top talent for Itineris RBS.Collaboration and Strategy: Work closely with department heads to understand staffing needs and develop effective recruitment strategies that align...

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, marine, engineering,...

We are Hiring UAENationals (Fresh Graduates) for multiple positions for permanentroles in our Claims, Underwriting, Finance, Compliance, Legal, IT,and Customer Service Departments.1. Learntechnical business functions and contribute to theorganization.2. Business support in insuranceoperations.3. Insurance Policy Services andCustomer Service.4. Data Entry...

Primary Responsibilities: - Preapproval 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 service description codes stated on the prior authorization...

**Company**: Dental Avenue Medical Center **Location**: Sharjah Al Mamzar Corniche - UAE **Job Type**: Full-time Having Experience in E-Claim/Riayati and Dental Reception is a must to be considered. **Responsibilities**:As a Dental Insurance Coordinator and Receptionist, you will play a crucial role in ensuring a seamless experience for our patients....

**Company**: Dental Avenue Medical Center **Location**: Sharjah Al Mamzar Corniche - UAE **Job Type**: Full-time Duties and Responsibilities: 1. Make sure to update always the record of all the staff (visa, passport copy, MOH Licenses) 2. Print the updated hard copy of all the important documents such as Establishment MOH License, Doctors & Dental...

**Job Title**: Insurance Coordinator **Location**: Sharjah **Reports To**: Operations Manager/Insurance Manager **Job Summary**: The Insurance Coordinator is responsible for managing and coordinating all insurance-related activities within the organization. This role involves handling insurance claims, managing policy renewals, liaising with insurance...

RCM - Manager: Qualification: Graduate with Medical coding certification, preferably Nursing / medical background. Experience: 6+ years Job Responsibilities: - Create and maintain standard policies and protocols for the department. - Liaise internally with the medical, operations, nursing, paramedical, and finance departments. - Maintain business...

Prepare and submit medical insurance claims to relevant insurance companies - Ensuring all required documentation is included - Track and follow up on pending claims - Resolving any discrepancies or issues that may arise during the claims process Pay: From AED2,500.00 per month Ability to commute/relocate: - Sharjah: Reliably commute or planning to...

**Company**: Dental Avenue Medical Center **Location**: Sharjah Al Mamzar Corniche - UAE **Job Type**: Full-time Having Experience in E-Claim/Riayati and Dental Reception is a must to be considered. **Responsibilities**:As a Dental Insurance Coordinator and Receptionist, you will play a crucial role in ensuring a seamless experience for our patients....

**HIRING INSURANCE COORDINATOR - PART TIME** Responsible for obtaining pre-approvals, insurance claim submission, claims re submission and reconciliation. Should be able to network and correspond with insurance companies for all insurance claim related quires and clarifications. Must be uptodate with DHPO & RIYATI protocols. Should be able to handle...

**Date**:10 Sep 2024**Company**:Air Arabia PJSC (G9)**Location**:Sharjah, AE**Country**:AE**Job Purpose**: - Responsible for all medical insurance claims related processes including but not limited to e-claims, resubmissions, rejections etc. Liaise between Medical Insurance Providers and employees/patients and handle all communications and documentation...

As an Insurance Manager, you will oversee our insurance operations, focusing on optimizing claims management processes and maintaining strong relationships with insurance providers. You will lead a team dedicated to handling all aspects of medical insurance, from claims processing to coordination with healthcare providers and...

**Job Summary** The Insurance Manager is responsible for overseeing and managing all aspects of the insurance and claims processing operations within the Revenue Cycle Management (RCM) department. This role involves ensuring timely submission, follow-up, and resubmission of claims to maximize reimbursement rates, minimize denials, and improve cash flow. The...

3-5 or above Years of Experience in the RCM department at a managerial level. - UAE experience is a must with experience in the healthcare domain. - Will be accountable for working closely with healthcare partners surrounding all billing and insurance processes and provide appropriate oversight and feedback to the higher management that ensures continued...

Provide assistance and advice to internal staff with respect to insurance policy coverage and general insurance questions - Collect and analyze insurance claims data including reviewing and reports from the insurance provider - Coordinate with HR Department for adding or deleting of the insurance. - Create and modify procedures, maintain up to date records,...

A reputed healthcare group having many clinics and pharmacies in UAE is looking for experienced Insurance Assistant to work in the insurance department. The role requires interaction with key internal and external stakeholders. **Qualification**: - Bachelors degree in a **medical-related course is a must (Nurse or Pharmacist)**: - Completion of a...

**Job description** Responsible for leading and overseeing the Insurance broker firm activities related to the administration, underwriting, and claims processing of general insurance policies. **Qualifications**: - Bachelor's degree in Business, Finance, Insurance, Engineering or a related field. - Minimum 6 years experience in the insurance industry...

.1 Coordinating with insurance companies for obtaining information on new policies and their coverage. 1.2 Verification of insurance eligibility, ensuring coverage of claims, guiding staff for correct use age of claim forms. 1.3 Explaining coverage of medical benefits to patients when required. 1.4 Assisting invoicing department in insurance processing...

**Insurance Manager** **Responsibility to staff and direct the team to** - manage the maintenance, development, performance, governance, administration and delivery of the insurance provision for the organisation to produce an efficient service and delivery solution, maximising efficiency, performance and best value against pre-agreed targets. - ensuring...

Responsibilities:Investigateproperty damage or personal injury.Gatherinformation from sources, such as policereports.Prepare reports for use by ClaimsExaminers.Investigate questionableclaims.Consult with specialists such aslawyers, engineers, architects andphysicians.Compile reports of investigationfindings.Assist attorneys and otherspecialists when...