Medical Claims Administrator

Transguard Workforce Solutions

UAE

Ref: RP117-155

Job description / Role

Employment: Full Time

On behalf of a client, we are currently looking for Medical Claims Administrators to be placed in Dubai.

This position will be responsible for processing healthcare claims and determine the amount of healthcare benefits to be paid for the given portfolio; detailed as below

Healthcare claims processing
• Check eligibility of the insured and dependents
• Check premium status where necessary
• Check claims as per policy requirements
• Update database with information received
• Record claim reimbursement notices on computer system
• Forward payment notices to Claims Manager or senior administrator for validation
• Manage integration of external data provided by third-parties.

Customer care by telephone, post and e-mail
• Identify and distribute mail received y the team
• Find insured member in administrative tool
• Identify administrator in charge of the given portfolio and stamp mail
• Distribute mail
• Answer and forward phone calls

Requirements

Qualifications
Education
- Bachelor degree medical field.
- Minimum 2 years experience in the same position with a local insurance/TPA.
- Good knowledge of the UAE health insurance market.

Languages
- Bilingual English /Arabic (French is a plus)

Computer skills
- Working knowledge of office automation tools and internet

Necessary Skills and abilities

- Detail oriented and committed to a high degree of accuracy
- Ability to work within a team environment
- Good language (oral and written) skills
- Promptness and efficiency
- Organizational skills
- Customer service skills
- Ability to listen and reassure customers

About the Company

Transguard Workforce Solutions delivers Professional Contract Staffing (also known as Employee Outsourcing) within the UAE.

Our Workforce Solutions include:

• Delivering Sourcing and Recruitment Solutions for Clients in need of identifying Contract or temporary Staff.

• Providing a complete end to end Staffing Solution which includes Visa Sponsorship, HR Management, Employee Welfare & Payroll Services.

• Transitioning Contract Staff from other staffing providers to Transguard while remaining compliant with UAE Labour and Immigration Laws.

Transguard Workforce Solutions currently employ over 2000+ Staff from over 70 different nationalities. Across the Group, we payroll over 70,000 employees monthly.

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