Claims Assessor

4 weeks ago


dubai, United Arab Emirates Bupa Arabia Full time
• The job holder will need to make customer focused actions based on effective decision-making skills. This will also include excellent internal customer service, with continuous contribution given towards achieving individual, team and department goals and objectives.• Input claims into the computer system with a high degree of accuracy.• Action any claim related query in line with Bupa Global policy and style.• To obtain all necessary information on claims for the purpose of complete processing, including liaison with internal departments, using the following methods: telephone or e-mail. This may also include gaining information to research further details required to assess a claim.• Respond to all relevant incoming correspondence and queries from our internal departments. This will be as per the Claims department key performance indicators, which state turnaround time and quality standards.• Ensure the correct interpretation of BUPA Internationals policy and rules, using the correct compatible combinations of codes for accurate processing of data, in accordance with our service standards and customer expectations.• To contribute to the continuous development of the claims process by identifying opportunities for product development and process improvement.• Suspend claims that require further investigation in order to resolve appropriately to ensure the correct continuation of processing within agreed timeframes and standards in suspend process.• Logging claims on the system under correct members registrations, when needed.• Recognise and challenge possible fraudulent information and proactively seek to clarify and resolve using best method of communication and initiative.• To comply with and abide by the regulatory requirements at all timesWhat you will bring• Must be a UAE National with family book (that can be provided)• Must hold a University Degree (with certificate that can be provided)• Background in the global health insurance market, or relevant transferable skills and knowledge from other financial services industries such as Life Insurance, Retail, Commercial or Investment Banking and Wealth Management.• Experience in a position with a medical background is desirable• Highly customer focusedTime Type:Full timeJob Disclaimer: Drjobs.ae
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