Tpa jobs in Dubai
- TPADubai
- A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
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- TPADubai Silicon Oasis
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- The Auditor is responsible for external and internal audits and maintains the reports and processing DRG claims.
- Case Management of IP when referred.
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- AllianzDubai
- In this role, you'll be responsible for evaluating and processing claims efficiently while insuring high standards of customer satisfaction and compliance with…
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- FMC Network UAEDubai
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- TPADubai
- We are seeking an experienced Senior MLOps Engineer to deploy, operate, and maintain machine learning, Generative AI, and agent-based solutions in production.
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- TPADubai
- We are seeking a hands-on Senior AI Engineer to develop, deploy, and maintain production-ready machine learning and Generative AI solutions.
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- Globemed Gulf Heathcare SolutionsDubai
- The Administrative Officer supports the smooth day-to-day operations of the office, handles general administration, helps coordinate between departments, and…
- GLOW SPARK POLYCLINICDubai
- We are looking for an experienced and proactive Insurance Coordinator to join our clinic and take responsibility for developing and managing our insurance…
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Claims Officer - Insurance/TPA
Job details
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