You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
A leading healthcare provider in the UAE is seeking an experienced administration professional to manage billing and claims processing. The role requires strong organizational skills, effective communication, and a minimum of two years’ experience. Candidates should have a Bachelor's degree in Commerce or Business Administration, with knowledge of cash billing procedures preferred. Proficiency in...
A leading healthcare provider in Abu Dhabi is looking for an experienced administrative professional to manage insurance claims and billing processes. The ideal candidate should possess a Bachelor's degree and have a minimum of two years' experience in cash billing procedures. Strong organizational and communication skills are necessary for this role, which involves interacting with co-workers...
A leading automotive manufacturer is seeking a Mid-Senior level Analyst in Dubai to develop and review market warranty policies and manage warranty claims processes. The ideal candidate will have a Bachelor's degree and fluency in both English and Chinese. Responsibilities include conducting training for local dealers, reviewing claims, and performing statistical analysis of claim cost data....
Overview Nurse - Claims Officer - Insurance vacancy in Dubai UAE Responsibilities - Validate information on clinical insurance claims from people seeking payment from their insurer. - Extensively examine claims to ensure there are no missing or insufficient details. - Maintain careful documents of insurance claims and act on lapsed situations. - Record and keep insurance and claims information...
A leading insurance firm in Dubai is seeking an Insurance Supervisor to oversee daily operations of the insurance team. The role involves supervising claims processing, ensuring compliance, and providing leadership to a team of professionals. The ideal candidate needs a relevant degree, 3-5 years of insurance experience, and strong analytical and communication skills. The position offers a...
A leading health insurance provider is seeking a Claims Processor in Dubai. The successful candidate will provide exceptional customer service, process claims accurately, and ensure compliance with policy. Applicants must possess a medical degree and have at least 2 years of claims experience. The role requires strong decision-making skills and an ability to work under pressure while maintaining...
Job Overview The Automation Claims Engine process lead is responsible for providing in-depth operational support related to Medical Controls Rules and Edits inside and outside TATSH IRIS which are used for claims adjudication The incumbent shall support in ensuring implementation of appropriate Edits inside clinical coding compliance coding education and training of all operations audit units and...
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.- Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.- In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.- Medical claims processors are expected to have an extensive knowledge...
To be the single point of contact for the PMC for claims and disputes and to manage the claims and dispute resolution process on behalf of the client- Provide a forensic analysis and evaluation of claims which have not been resolved at project level, including evaluation of both contractual and legal entitlement identify, collect and evaluate relevant facts and records.- Collate related...
MAIN TASKSEvaluates medical claims/invoices from the technical and medical perspectives as per policy terms and conditions.Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.Ensures that provider’s fees and service items charges coincide with their existing contract price list with Nextcare.Ensures the accuracy of the...
Receive and review warranty claims submitted by customers, dealers, or service providers.- Verify warranty coverage and ensure claims meet eligibility criteria.- Process claims accurately and efficiently using our internal systems and databases.- Communicate with customers or dealers regarding claim status, additional information required, or claim denials.- Maintain organized records of warranty...
Working at LocktonAt Lockton, we’re passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented and always striving to make ourselves and those around us better. We’re active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to...
We are looking for Claims Executive - Pharmacy oCandidate should hold a Pharm D B Pharm D Pharm Degree oMinimum 2 - 5 years Experience in Medical Insurance TPA Insurance industry or Pharmacy within UAE oAdjudication of pharmacy prior authorization requests received in accordance with policy TOB and issuing approvals within TAT by ensuring prior authorization protocols oAccurate usage of denial...
Job Overview The role of the Claims Automation Manager is to plan lead and execute Global AP Health Strategy related to automation of claims and pre-approval decisions according to strict deadlines priorities and within budget The Automation Claims Engine Manager is responsible for defining automation objectives automated cost containment measures and KPIs for the initiatives under the scope of...
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.- Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.- In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.- Medical claims processors are expected to have an extensive knowledge...
A leading automotive manufacturer is seeking a Mid-Senior level Analyst in Dubai to develop and review market warranty policies and manage warranty claims processes. The ideal candidate will have a Bachelor's degree and fluency in both English and Chinese. Responsibilities include conducting training for local dealers, reviewing claims, and performing statistical analysis of claim cost data....
A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports. Fluency in English and strong Microsoft...
A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports. Fluency in English and strong Microsoft...
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.- Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.- In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.- Medical claims processors are expected to have an extensive knowledge...