Job Description

1 Year contractual role

Qatar local candidates with valid QID preferred

MBBS Degree. Min 3 to 5 years of experience. Sound

medical knowledge

and willing to work in

non-clinic process

. Minimum of

1-year

experience in

handling authorization

. Should be willing to

work in shifts as the department works on 24/7 function

. To manage and process claims, ensuring documentation, verifying eligibility, obtaining necessary pre-authorization and facilitate billing for the reimbursement process. Provide accurate and timely medical claims handling services in accordance with company policies, procedures, and standards. Assess, evaluate, and process claims in an effective and efficient manner to support the smooth operation of the Claims function. Maintain detailed and accurate records of all claim's assessments and decisions. Liaise with internal departments and external medical providers to gather necessary information for claim adjudication. Ensure compliance with regulatory requirements, company guidelines, and service level agreements (SLAs). Contribute to the continuous improvement of claims processes and systems. Be flexible in working across different types of Claims functions, as assigned by management.
Job Types: Full-time, Permanent

Work Location: In person