Medical Benefits Officer Jobs In Dubai UAE 2023 | Emirates

3 weeks ago


dubai, United Arab Emirates Emirates Full time
Medical Benefits Officer Jobs In Dubai UAE 2023 | EmiratesFor More Top Organization Jobs Click HereWhat You’ll do
Compile feedback from various sources thereby measuring external medical providers and healthcare benefits.Documenting and investigating to seek recommendations for quality improvements.Process pre-approvals and medical claims to determine cover in line with company terms and conditions.Make decisions with regards to payment, denials, investigations and reimbursement.Authorize urgent medical claims and/or medical treatment at external medical providers within set SLAs.Review the procedures regularly and, where required. Escalate external provider trends to give an excellent standard of medical care and internal support to employees.Authorize approvals, reimbursements and direct billing invoice payments in-line with the applicable Medical Benefits Manual.Support the department with technical support to establish improved processes and system integration. Design and create automated reports and dashboards to standardize management reporting.During project activity, verify all published material including but not limited to the MB Manual (T&Cs, Network list, Guide, Exclusions and TOB) group world site and MB SharePoint.
Qualifications & Experience
Degree or Honors (12+3 or equivalent) in a relevant medical field / MBBS.Clinical /medical experience of 4-5 years.
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