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Claims Officer - Insurance/TPA
TPA
Dubai
AED6,000 - AED6,500 a month
Permanent, Full-time
Apply now

Job details

AED6,000 - AED6,500 a month
Permanent, Full-time
Dubai

Full job description

· A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.

· Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.

· In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.

· Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.

  • Recording and maintaining insurance policy and claims information in a database system.
  • Determining policy coverage and calculating claim amounts.
  • Processing claims payments.
  • Answering queries related to Policy coverage criteria and guidelines.
  • Complying with federal, state, and company regulations and policies.

· Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.

· Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.

  • Performing other clerical tasks, as required.

Job Types: Full-time, Permanent

Pay: AED6,000.00 - AED6,500.00 per month

Ability to commute/relocate:

  • Dubai: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • Are you available to join immediately?

Education:

  • Bachelor's (Preferred)

Experience:

  • claim’s processor or in a related role.: 2 years (Preferred)

Work Location: In person

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