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Insurance Claims Specialist
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NMC Healthcare, a leading healthcare provider in the UAE, is seeking an experienced Insurance Claims Specialist to join our team. As a Claims Handler - Insurance, you will be responsible for providing high-level claims handling support to our Vice President – Legal.
This is a challenging role that requires a good understanding of the insurance market structure, claims handling, and the ability to collaborate with internal and external stakeholders. You will deal with claims made on our insurance policies, excluding Group health/life.
Key Responsibilities:- Handle Group related insurance claims, including Medical Malpractice Insurance, Property all Risk, and Cyber Insurance.
- Liaise with Insurers and Brokers to ensure timely submission of all claims and supporting documents.
- Manage the insurance claim process, including investigating the claim, maintaining accurate records, and supervising brokers and their claims departments.
- Handle email and telephone enquiries from the Group and manage claims from start to end.
- Gather all relevant information and documents to support the claim, and ensure the claim is processed quickly and correctly.
- Examine the details on completed forms and check these against the cover provided by the Insurance policy.
- Keep the Facility informed of the progress of the claim.
- Perform general administration and organization, including orderly document management of both electronic and paper files.
- Follow best practice procedures to ensure new claims processes are completed within a certain time frame.
- Complete, maintain, and regularly update the Insurance claims log as required.
- Ensure all internal reports and supporting evidence are provided to Insurers and/or Brokers in a timely manner, and liaise regularly with the Insurers to establish the status of ongoing Insurance claims.
- Contribute to the development and maintenance of robust arrangements for insurance claims management across the organization.
- Work with the VP Legal during the renewal cycle to collate, sense check claims data, and obtain information from other areas of the business for renewal of the insurance portfolio.
- Maintain accurate diary systems to ensure Insurance premiums are paid on time and in accordance with the Insurance Agreement.
- Provide ad hoc assistance with the conduct/management of litigated claims.
- Bachelor's degree in law, Insurance, Business, or a related field. A Master's degree will be an advantage.
- Strong knowledge of insurance policies, claims processes, and legal regulations.
- Excellent negotiation, communication, and interpersonal skills.
- Strong analytical and problem-solving skills.
- Well-versed with Word, Power Point, and Excel.
- Ability to think critically and maintain a high level of confidentiality.
- 10 to 12 years' experience in Insurance claims handling required. A legal background in the UAE will be an advantage.
