spd

ResponsibilitiesOwn the strategy, quality, and regulatory compliance of plan document functions, including SPDs, SMMs, and SBCsEnsure compliance with ERISA, Internal Revenue Code, HIPAA, MSP, COBRA, ACA, and WHCRAOversee claims audit, appeals, escalations, recoveries, subrogation, and No Surprises Act (NSA) functionsEstablish operational and quality KPIs and...

Centivo in Dubai is seeking a benefits paralegal to verify eligibility, draft and maintain plan documents such as SBCs, SPDs, and SMMs, and respond to client inquiries on compliance and will manage a book of business for mid-market to enterprise accounts, support training of analysts, and collaborate with internal teams. A 3–5 year background in employee...

Luminare Health, a subsidiary of Health Care Service Corporation (HCSC), is seeking a claims specialist to resolve complex health insurance issues for clients and internal teams.Ideal candidates have five+ years in claims processing, ERISA/DOL familiarity, SPD interpretation, and strong MS Excel/Word skills; Bachelor's degree preferred. The role emphasizes...

Centivo is seeking a senior leader to own strategy, quality, and regulatory compliance for plan document functions (SPDs, SMMs, SBCs). You will ensure adherence to ERISA, HIPAA, COBRA, ACA and NSA, while overseeing claims activities and driving data-driven KPI monitoring.Collaborate across Legal, Compliance, and Client Success to translate plan changes into...

Luminare Health, a subsidiary of Health Care Service Corporation (HCSC), is seeking a claims specialist to resolve complex health insurance issues for clients and internal teams. Ideal candidates have five+ years in claims processing, ERISA/DOL familiarity, SPD interpretation, and strong MS Excel/Word skills; Bachelor's degree preferred. The role emphasizes...

Centivo is seeking a claims processor to adjudicate claims in assigned queues, applying written Policies and SPD. You will review system edits to ensure benefits are applied correctly and route inconsistencies to Plan Build or Provider Maintenance teams. You will deny claims when information is missing, generate concise correspondence to participants or...

Centivo is seeking a senior leader to own strategy, quality, and regulatory compliance for plan document functions (SPDs, SMMs, SBCs). You will ensure adherence to ERISA, HIPAA, COBRA, ACA and NSA, while overseeing claims activities and driving data-driven KPI monitoring. Collaborate across Legal, Compliance, and Client Success to translate plan changes into...

Centivo in Dubai is seeking a benefits paralegal to verify eligibility, draft and maintain plan documents such as SBCs, SPDs, and SMMs, and respond to client inquiries on compliance and customization. You will manage a book of business for mid-market to enterprise accounts, support training of analysts, and collaborate with internal teams. A 3–5 year...

Luminare Health in Dubai is seeking an experienced Claims Processor to adjudicate and process medical, dental, vision, and related claims, ensuring accuracy and compliance. You will secure and analyze claim information to determine life and disability benefit eligibility.The role requires high school diploma and 3 years medical claim processing and 3 years...

Luminare Health in Dubai is seeking an experienced Claims Processor to adjudicate and process medical, dental, vision, and related claims, ensuring accuracy and compliance. You will secure and analyze claim information to determine life and disability benefit eligibility. The role requires high school diploma and 3 years medical claim processing and 3 years...

Centivo is seeking a claims processor to adjudicate claims in assigned queues, applying written Policies and SPD. You will review system edits to ensure benefits are applied correctly and route inconsistencies to Plan Build or Provider Maintenance teams.You will deny claims when information is missing, generate concise correspondence to participants or...

Luminare Health, a subsidiary of Health Care Service Corporation (HCSC), is seeking a claims specialist to resolve complex health insurance issues for clients and internal teams. Ideal candidates have five+ years in claims processing, ERISA/DOL familiarity, SPD interpretation, and strong MS Excel/Word skills; Bachelor's degree preferred. The role emphasizes...

Responsibilities - Own the strategy, quality, and regulatory compliance of plan document functions, including SPDs, SMMs, and SBCs - Ensure compliance with ERISA, Internal Revenue Code, HIPAA, MSP, COBRA, ACA, and WHCRA - Oversee claims audit, appeals, escalations, recoveries, subrogation, and No Surprises Act (NSA) functions - Establish operational and...

ResponsibilitiesResolve claim and customer service issues initiated by clients or Client ManagementResearch and resolve issuesRecommend process improvements to prevent recurrenceCommunicate with clients, Operations, and Client ManagementTrack and monitor issuesRequirementsHigh School diploma or GED equivalentMinimum five or more years claim processing or...

ResponsibilitiesPerform accurate adjudication and processing of medical, dental, vision, and other related claimsSecure and analyze claim information to make life and disability benefit determinationsCalculate benefit payments and communicate claim decisions on new and continuing claimsProvide responsive and caring customer service to members and...

ResponsibilitiesAdjudicate and process medical, dental, vision, and life/disability claims accuratelyAnalyze claim information to make benefit determinations based on policy provisions and lawsCalculate benefit payments and communicate decisions on new and continuing claimsServe as a liaison for internal departments and advise team members on processing...

Responsibilities - Resolve claim and customer service issues initiated by clients or Client Management - Research and resolve issues - Recommend process improvements to prevent recurrence - Communicate with clients, Operations, and Client Management - Track and monitor issues Requirements - High School diploma or GED equivalent - Minimum five or more...

WorkspaceWorkspaceClient's homeClinicsHospitalsRehabilitation centresSchoolsTherapy centresOnline (where clinically appropriate)Freelance / ContractRole OverviewWe are seeking a Sensory Integration Practitioner to assess and support children with sensory processing difficulties across Dubai. You will deliver evidence-based sensory integration intervention in...

Responsibilities - Perform accurate adjudication and processing of medical, dental, vision, and other related claims - Secure and analyze claim information to make life and disability benefit determinations - Calculate benefit payments and communicate claim decisions on new and continuing claims - Provide responsive and caring customer service to members...

ResponsibilitiesManage the Plan Documents team's workload and task assignments for drafting SBCs, SPDs, and SOBsIdentify workflow process improvements and implement new policies and proceduresTrain new hires on PDM functionality and document management mechanicsCollaborate cross-functionally with Configuration and Client Success teamsConduct...