Medical Officer – Leading Insurance Company |
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A Leading Insurance Company in the UAE
Ref: KP053-03
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The RoleThe RoleObjective: The job holder will be responsible for reviewing, auditing medical claims, evaluate pending claims, reconciliation & handling Pre-authorization requests with assuring excellent customer service. External Communication: Customers, Intermediaries and Health Care Providers - For resolving queries / issues, managing relationships, pre-authorizations and conveying information. Main Responsibilities : Coordinate with providers to make procedures more cost effective. Assist in managing Pre-authorization business to optimize cost efficiencies and subject to medical & policy eligibility. Assist in implementation of medical claims processes, reconciliations protocols and to communicate & clarify to clients, providers & intermediaries. Minimize fraud by conduction of provider visits, second opinions and profiles. Maintain documentation process in relation to providers. Review and audit medical claims and evaluate pending claims Reporting to : AVP - Medical Claims - Health Department Subordinates : Officer Medical Processing Other interactions : Clients, providers & intermediaries Number required : 2 Duration : Permanent Desired start date : Immediately Probation : 6 Months Working hours : 5 days / week 8 hrs / day |
RequirementsRequirementsUniversity Qualifications : MBBS/ MBChB or above Other certifications : Insurance qualification an added advantage. Previous experience : Medical Doctor, any department Specialist knowledge : Strong Medical Knowledge Other Skills : Knowledge of MS Office Strong Analytical ability with Initiative and Good Interpersonal and Communication skills Strong Problem solving and decision making capabilities Very good Written & verbal communication skills in English Ideal Age Range : 25 - 40 Gender Preference : Male Nationality Preference : Any Language Skills : English Current Residence : Dubai, UAE |
About the CompanyAbout the CompanyA leading Insurance Company in the UAE. |
This Position is closed or expired
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