Medical Claims Officer

1 week ago


Dubai, Dubai, United Arab Emirates Allianz Full time
Job Summary

The Medical Claims Officer will provide exceptional service to clients, efficiently assessing and processing claims in accordance with established operational standards.

Main Responsibilities
  • Manage daily claims administration tasks with precision and attention to detail.
  • Coordinate workflow and meet deadlines to ensure timely claim processing.
  • Evaluate claims for eligibility, making informed decisions based on standard operating procedures.
  • Take ownership of high-cost and complex cases, applying sound judgment and expertise.
  • Handle international preauthorization cases as required, ensuring seamless coordination with providers.
  • Respond to inquiries from insurance companies, clients, and providers, providing clear and concise information.
  • Collaborate with international providers for direct billing, streamlining the claims process.
  • Identify opportunities for service improvement, implementing changes to enhance efficiency and minimize errors.
Behavioral Requirements
  • Excellent organizational and time management skills, with a focus on meeting deadlines.
  • Proven ability to work effectively as part of a team, building strong relationships with colleagues and stakeholders.
  • Strong communication and interpersonal skills, with a focus on confidentiality and diplomacy.
  • Ability to work under pressure, responding calmly and creatively to challenges and deadlines.
  • Experience working with senior managers, demonstrating a pleasant and courteous demeanor.
Behavioral Competencies
  • Customer & Market Excellence: Strive for excellence in every interaction with customers, fostering a culture of continuous improvement.
  • Collaborative Leadership: Empower team members, providing purpose and direction, and promoting a culture of collaboration and knowledge sharing.
  • Entrepreneurship: Act on opportunities, anticipate trends, and promote a culture of innovation and calculated risk-taking.
  • Trust: Demonstrate integrity, honor commitments, and promote transparency and corporate social responsibility.
Minimum Requirements
  • Bachelor's degree in Medicine (MBBS) or equivalent.
  • Relevant medical practical experience, preferably in the insurance industry.
  • Physical fitness to perform duties.
  • Legally permitted to work in the country of operations.
  • Proficiency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.


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