Job Description

Our company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer to join our technical team in Dubai. Reporting to the General Manger the incumbent will be responsible for the entire medical underwriting process through a variety of technical tasks.

Responsibilities

Evaluates and processes claims in accordance with insurance policy terms and conditions, company policies and procedures according to productivity and quality standards.

Ensures that targets are met for department turnaround time, quality and productivity.

Identify and report back any type of claims observation or issues that may affect the process.

Collect and analyze claims data to identify and resolve errors, delayed claims, and processing issues.

Providing recommendations to take steps to improve the claims processing quality standards and productivity.

Analyze reports from the administrative software for provider and member utilization trends and identification of areas requiring further management.

Support the Team Leader / Manager in implementation of quality assurance programs in order to maintain standards of quality and minimize fraudulent cases.

Handling medical related call queries.

Maintain confidentiality with regard to the information being processed, stored or accessed.

Completes other projects and duties as assigned.

Skills Required

Proficient Excel skills

Analytical mind

Result oriented

Good written and verbal communication skills

Good Presentation Skills.

Education, Experience and Formal/Professional Qualifications

Health Science Degree (Nursing / Parmacist)

Minimum 3 years of experience in Medical Claims Processing.

Reading through doctors' reports.

Previous insurance or TPA experience is a must.

Coding knowledge is preferred.

Experience in dealing with insurers.

The ability to manage clients, distribution teams, and insurers.

Applications will be considered if you have the relevant experience and your skill set match those required and stipulated within the advert text.

About The Company

Commercial Insurance Brokerage Services was launched in Dubai since 1997, and as of now we are acting as an insurance broker and consultant, we recommend the most relevant insurance schemes which suit the clients according to their needs and budget.

We seek to present our products in terms of different types of insurance such as Group and Individual Medical, Professional Indemnity, Property, Marine, Workmen's Compensation, Contractor's All Risk, Motor etc.

We also have an access on most of the insurance companies in U.A.E. National and Multinational where the vital part of the business is providing a high caliber service through personal care and commitment.

Job Types: Full-time, Permanent

Pay: AED4,000.00 - AED5,000.00 per month