About the Company
- A leading International Insurance Broker is currently looking for a technically strong Medical Claims Specialist to join their team in Dubai.
About the Role
- Adhere to all company policies, procedures and guidelines in addition to insurance regulations
- Arranging Direct Billing and Reimbursement Approvals from insurance companies and keeping the insureds aware on the same.
- Debating with the insurance companies for denied claims too and checking on policy wording to make the claim payable or escalating the same to be settled if the insured is the Group Decision Maker and involved in the renewal process.
- Negotiate claim settlements and make recommendations
- Engaging in Meetings with Clients wherein the Claim Procedures as per the policy standards are informed and practiced.
- Managing the complete tasks assigned to the Medical Claims Department
- Verifying the claims submitted for Reimbursement; in terms of the eligibility, validity and additional documentation requirement.
About the Individual
- Minimum 5 years of experience in a Claims Management role
- Strong knowledge on DHA and HAAD guidelines
- Must be presentable for client meetings
- Extremely organized and solid client management skills At least three years of experience working in the medical field
- At least two years of experience as a medical claims specialist/examiner
- Interpersonal skills
- Analytical abilities
- Salary commensurate based on Candidates’ experience
- An excellent bonus scheme and other benefits