Claims Processor

3 weeks ago


Dubai, Dubai, United Arab Emirates MedNet Global Healthcare Solutions LLC Full time

Job Summary:

MedNet Global Healthcare Solutions LLC is seeking a skilled Claims Processor to join our team. As a Claims Processor, you will be responsible for processing claim forms, adjudicating for provision of deductibles, co-pays, co-insurance maximums, and provider settlements.

Key Responsibilities:

  • Enter claims data into the system with accuracy and efficiency.
  • Respond to queries from members, providers, and other insurance companies in a timely and professional manner.
  • Perform audits of randomly selected claims to ensure quality processing and detect any potential fraud.
  • Research claim overpayments and request funds as necessary.
  • Adhere to adjudication policies and procedures to ensure proper payment of claims.
  • Provide exceptional customer service to members, providers, and other insurance companies.
  • Maintain and prepare departmental records in a secure and organized manner.

Requirements:

  • Diploma in business management or a related field with a diploma in a para-medical course.
  • Minimum one year of experience in claims management in the insurance industry or TPA company.
  • Basic knowledge of relational databases and excellent knowledge of MS Office.


  • Dubai, Dubai, United Arab Emirates Platinum Insurance Broker LLC Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Processor to join our team at Platinum Insurance Broker LLC.The successful candidate will be responsible for analyzing claims and determining whether they are covered by policy.Key Responsibilities:Analyze claims and make recommendations for settlement.Inform clients about claim status and...

  • Payment Processor

    5 months ago


    Dubai, United Arab Emirates Insight Global Full time

    Day-to-DayA company in South Florida is looking for a Claims Payment Processor to join their team. They will report to the Payment Processing Supervisor and will be responsible for the audit and payment of claims authorized by the Claims department. In addition to processing payments, as necessary, the Payment Processor will assist with inbound and outbound...

  • Claims Officer

    4 months ago


    Dubai, United Arab Emirates TPA Full time

    A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...

  • Payment Processor

    6 months ago


    Dubai, United Arab Emirates Insight Global Full time

    Day-to-DayAcompany in South Florida is looking for a Claims Payment Processorto join their team. They will report to the Payment ProcessingSupervisor and will be responsible for the audit and payment ofclaims authorized by the Claims department. In addition toprocessing payments, as necessary, the Payment Processor willassist with inbound and outbound phone...


  • Dubai, United Arab Emirates TPA Full time

    A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...


  • Dubai, United Arab Emirates Sav Full time

    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...


  • Dubai, United Arab Emirates NATIONAL GENERAL INSURANCE CO (PSC) Full time

    **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...

  • Fleet Executive

    4 months ago


    Dubai, United Arab Emirates ZC Consultant Full time

    **_Job Details:_**: **_ _** *** - _Prepare the daily transfer schedule for vehicles entering the Port, considering units to expire, units for bonds, and units in nationalization processes, ensuring timely movements to the CDA._ - _Control and monitor the times and units of vehicle shipments, identifying them, maintaining inventory, and reporting...

  • Qc Supervisor Glass

    3 months ago


    Dubai, United Arab Emirates Emirates Glass LLC Full time

    We are urgently looking for QC Supervisor with Glass Industry Experience Job Responsibilities: - Handle a team of QC engineers to carry out inspection in all areas of production like cutting, tempering, coating etc. and ensure good product quality. - Instruct/train the operators and ensure that the work instructions are strictly adhered to. - Ensure that...


  • Dubai, United Arab Emirates Black Pearl Consult Full time

    Our client a prominent automotivecompany is seeking a dedicated and experienced Automotive Head ofProduct Design to be based in Dubai to lead their Product Designteam who has a passion for finding solutions that allow customersto intuitively use their products. The ideal candidate would be avisionary with team management skills and shall be skilled at...

  • HR Executive

    4 weeks ago


    Dubai, United Arab Emirates Black Pearl Consult Full time

    A leading online recruitmentplatform specializing in connecting top talent with premieremployers across the Gulf region. We are dedicated to deliveringexceptional recruitment solutions and creating opportunities forboth candidates and companies. We are seeking a dynamic anddedicated Human Resources Executive to join our team inDubai.The Human...