Medical Claims Officer jobs in Dubai Airport

MEDICAL CLAIMS OFFICER | HEALTH INSURANCE / TPA

Location: Sharjah, UAE
Salary: AED 6,000–10,000/month
Employment Type: Full-time
Qualification: MBBS / BHMS

We are seeking a qualified Medical Claims Officer with a medical background and knowledge of UAE health insurance, medical claims processing, and TPA operations. The ideal candidate will be responsible for reviewing medical claims, assessing medical necessity, processing approvals, and ensuring compliance with insurance policies and regulatory guidelines.

Key Responsibilities

• Review and assess medical claims, medical records, and supporting documents.
• Evaluate medical necessity, policy coverage, benefits, exclusions, and reimbursement eligibility.
• Process pre-authorizations, medical approvals, claim settlements, and rejections.
• Coordinate with healthcare providers, insurance companies, and TPAs regarding claims and approvals.
• Handle claim discrepancies, appeals, reconsiderations, and provider inquiries.
• Identify potentially fraudulent or inappropriate claims and escalate concerns.
• Maintain accurate claims documentation and prepare reports.
• Ensure compliance with UAE health insurance regulations and internal policies.

Requirements

• MBBS or BHMS qualification is mandatory.
• Freshers or candidates with UAE experience in Medical Claims, Health Insurance, or TPA operations may apply.
• Knowledge of medical claims adjudication, medical necessity review, and insurance policy interpretation.
• Familiarity with UAE health insurance practices and insurance/TPA portals.
• Strong analytical, decision-making, and communication skills.
• UAE-based candidates only.
• Willingness to work in shifts.

Preferred

• Experience in a TPA, insurance company, or healthcare provider.
• Experience in pre-authorizations and provider approvals.
• Immediate joiners or candidates with a notice period of 1 month or less.

Pay: AED6,000.00 - AED10,000.00 per month

Application Question(s):

• Do you have experience in medical claims processing, claims adjudication, or pre-authorisation approvals within a hospital, insurance company, or TPA?
• Are you familiar with UAE health insurance practices, including policy coverage, exclusions, deductibles, co-payments, and medical necessity assessment?
• Have you worked with insurance/TPA portals to review medical records, assess treatment eligibility, and process claims or approvals?
• Do you hold an MBBS or BHMS qualification?
• Are you willing to work for the salary range between AED 6000 - AED 10,000 per month?

Work Location: In person