Medical Claims Adjudicators

Metlife Alico Gulf

Dubai, UAE

Ref: MP544-05

Job description / Role

Employment: Full Time

- Reviewing and validating group medical claims, assuring the accurate input of name, date, diagnosis and approval of claims on the claim system;
- Processing both in-patient and out-patient claims according to the policy terms and conditions;
- Pursuing providers to arrange their bills in a way facilitate our process to the new project of E-claims;
- Obtain information from healthcare providers to verify the accuracy and completeness of information on claims forms if needed.
- Register and stamp the number on claims documents.
- Understand and adhere to all Compliance requirements, including but not limited to, reporting of suspicious transactions, screening requirements, as applicable, and the retention of Company records; plus provide timely support and unrestricted access to information as well as attend all training requests from Compliance.

Requirements

- Previous experience of medical claims
- High school or graduate
- Strong communication skills in all formats
- PC literate
- High level of accuracy and attention to detail
- Strong organizational skills
- Ability to multi-task and function in high volume area
- Ability to handle deadlines and proactively problem solve

About the Company

Around the world, the MetLife companies offer insurance, retirement and savings products. Our products are available through agents, third-party distributors such as banks and brokers and we also work directly with customers. We offer:

  • Flexible insurance options to protect you and your family. Our wide array of products includes life, health, accident, auto and home insurances.

  • Retirement and savings accounts and plans to help you reach your financial goals. Our investment products and strategies can help you plan today what you want to achieve tomorrow. Our retirement solutions help secure and maximize your future income, allowing you to enjoy the best years of your life.

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