Supervise end-to-end processing of medical claims, ensuring accuracy, timeliness, and alignment with policy terms and regulatory requirements.
Provider Negotiations:
Handle claims under negotiation with healthcare providers, ensuring fair outcomes and adherence to service agreements.
Claims Authorization:
Approve, process, or escalate claims according to authority limits and company guidelines.
Reporting & Analytics:
Compile and analyze reports on claims volume, processing trends, rejection rates, and team KPIs to support continuous improvement.
Process Enhancement:
Collaborate with internal departments (e.g. Compliance, IT, Finance) to implement process updates and streamline workflows.
Qualifications:
Medical Doctor (MBBS) Degree holder.
Minimum
3-5 years of experience
in medical insurance claims .
Solid understanding of
policy interpretation
, regulatory compliance, and provider negotiations.
Strong analytical and reporting skills.
Excellent communication and cross-functional collaboration abilities.
You can also send your cv directly to:
careers@ngiuae.com
Job Type: Full-time
Application Question(s):
Do you have medical insurance claims experience in UAE?
Education:
Bachelor's (Preferred)
Experience:
Medical claims : 5 years (Required)
License/Certification:
MBBS degree (Required)
Location:
* Dubai (Required)
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