Medical Claims Officer

5 days ago


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

We are seeking a highly skilled Medical Claims Officer to join our team at Allianz Partners. As a Medical Claims Officer - Outpatient Pre-certification Specialist, you will be responsible for assessing and approving medical claims for outpatient pre-certification.

Key Responsibilities
  • Medical Claims Assessment: Evaluate medical claims for outpatient pre-certification, ensuring that they meet the necessary policy conditions and guidelines.
  • Approval and Decision-Making: Make informed decisions on medical claims, taking into account the patient's treatment plan, policy use, and other relevant factors.
  • Communication and Feedback: Provide clear and concise feedback to clients regarding their medical claims, ensuring that they understand the approval process and any declined claims.
  • Workflow Coordination: Coordinate with internal teams to ensure efficient workflow and meet productivity targets.
  • Productivity and Quality: Maintain high productivity levels, meeting daily targets and ensuring that claims are processed within the required timeframe.
  • Adherence to Policy: Adhere to company policies and procedures, ensuring that all claims are processed in accordance with established guidelines.
Requirements
  • Education: Bachelor's degree in a relevant field.
  • Experience: 2+ years of medical claims experience, preferably in an insurance provider, broker, or TPA environment.
  • Skills: Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.


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