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Medical Claims jobs in Dubai International City

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    • Support employees with medical approvals, reimbursement claims, rejected claims and insurance-related complaints.
    • Pay: AED5,000.00 - AED5,500.00 per month.
    • View all Tanmyah jobs - Dubai Silicon Oasis jobs - Insurance Coordinator jobs in Dubai Silicon Oasis
    • Salary Search: Corporate Medical Insurance Coordinator salaries in Dubai Silicon Oasis
    • A medical degree is mandatory.
    • Proven background in healthcare-related claims assessment.
    • Inputting claims into the computer system with a high degree of…
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    • To assist the IP department in finalizing cases by medically scrutinizing and justifying the prescribed treatment or service in addition to finalize assigned…
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    • Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
    • Assessing and processing claims in line with the policy coverage and medical necessity.
    • Maintaining both qualitative and quantitative claims measures.
    • Receive, review, and audit medical claims submitted by contracted providers to ensure alignment with policy terms, medical necessity standards, and pricing…
    • Good knowledge of the UAE healthcare and medical insurance environment.
    • Support the expansion and optimization of the medical provider network across the UAE.
    • This specialized role is crucial for the accurate, efficient, and compliant processing of complex medical claims related to inpatient hospitalizations.
    • You bring analytical rigor that translates complex metrics into clear medical decisions.
    • Omnichannel Tracking & ROI: Track and optimise medical performance…
    • Managing Insurance, renewals and accident claims.
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    • Experience in motor, medical, property, or general insurance claims is an advantage.
    • Register and maintain claims records in the system.
    • Expert knowledge of medical conditions, treatments, procedures and standard codes.
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    • Responsible for reviewing clinical documentation and assigning standardized medical codes to diagnoses, procedures, and treatments for billing, insurance claims…
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    • Evaluate Pre-Approval requests for medical necessity based on the medical data provided.
    • Evaluate the Pre Approval requests from medical necessity for the…

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Job Post Details

Corporate Medical Insurance Coordinator
Tanmyah
Dubai Silicon Oasis
AED5,000 - AED5,500 a month
Permanent
Apply now

Job details

AED5,000 - AED5,500 a month
Permanent
Dubai Silicon Oasis

Full job description

Role Summary

Manage employee and dependent medical insurance administration, coordinate with insurers and brokers, and support employees with coverage queries, approvals and claims.

Key Responsibilities

  • Coordinate medical insurance enrolments, additions, deletions and policy amendments for employees and dependents.
  • Verify supporting documents and maintain accurate member records.
  • Track policy renewals and coordinate quotations, benefit comparisons and renewal documentation.
  • Liaise with insurers, brokers and third-party administrators (TPAs) on coverage, exclusions, hospital networks and eligibility.
  • Support employees with medical approvals, reimbursement claims, rejected claims and insurance-related complaints.
  • Coordinate medical application forms and underwriting requirements while maintaining confidentiality.
  • Arrange insurance cards, policy documents and benefit summaries, and explain coverage to employees.
  • Monitor pending requests and follow up to ensure timely resolution.
  • Verify premium invoices, endorsements, credit notes and refunds, and coordinate payments with Finance.
  • Coordinate with HR and Payroll on employee eligibility, dependent coverage and applicable deductions.
  • Prepare reports on insured members, premiums, claims status and outstanding cases.
  • Maintain confidential medical and insurance records and follow applicable data protection requirements.

Requirements

  • Bachelor’s degree or diploma in Business Administration, Insurance, Healthcare Administration or a related field.
  • Minimum 3 years of UAE experience in corporate medical insurance administration, preferably supporting a large workforce.
  • Good understanding of group medical insurance, policy benefits, exclusions, provider networks and claims procedures.
  • Experience coordinating with insurers, brokers and TPAs.
  • Proficiency in MS Excel and maintaining insurance databases.
  • Strong communication, follow-up and problem-solving skills.
  • Ability to handle sensitive information with discretion and support employees professionally.

Pay: AED5,000.00 - AED5,500.00 per month

Work Location: In person

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