Job Description

The

Claims Assessor

is responsible for reviewing and processing medical claims in line with insurance policy limits and clinical documentation. The role involves coordinating with providers, patients, and internal teams to ensure accurate documentation and compliance across all claim types. Candidates should bring strong medical knowledge, attention to detail, and the flexibility to work in a 24/7 rotational shift environment.

Key Responsibilities

Review and process medical claims including pre-approvals, direct billing, reimbursements, and related cases Coordinate with providers, patients, and internal departments to ensure complete documentation and compliance Maintain accuracy and integrity in claim records, policy limit checks, and clinical documentation Utilize medical knowledge and terminology to evaluate claim submissions Operate within a rotational shift schedule, including night shifts, to support 24/7 operations Communicate clearly and professionally with all stakeholders involved in the claims process

Skills

Strong understanding of medical terminology and insurance policies Excellent organizational skills and attention to detail Ability to manage time effectively and work under pressure Strong computer literacy and documentation skills Clear verbal and written communication in English Bilingual proficiency (Arabic and English) is preferred Flexibility to work rotational and night shifts as part of a 24/7 team

Qualifications

MBBS degree from a recognized medical institution Minimum of 4 years of experience in medical claims, pre-authorization, or reimbursement processing

Job ID: 23072502-114VG