Claims Processor – Medical

Job description / Role

Some job responsibilities will include, but not limited to, the following:

-Processing of medical claims
-Researching billing discrepancies
-Resubmitting claims to third party carriers
-Reviewing transferred claims
-Reporting non-payment issues
-Contacting clients to update personal information
-Entering and uploading details of all claims processed.

Requirements

-Degree qualified Nurse/Pharmacist/Physical therapy, with medical experience - not necessarily MOH/DOH registered
-Experience with third party billing with customer service/administration in the medical insurance industry preferred
-Excellent verbal and written communication skills
-Proven ability to work with a high degree of accuracy and attention to detail
-Proficiency in MS Office skills, mainly MS Word and Excel.
-Strong Flexible in working hours -- able to put in extra hours when needed.
-Positive attitude, proactive and must be able to work on own initiative.

About the Company

One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential.