Medical Claims Officer (Strong Medical Background Required) | Dubai, UAE

Medical Claims Officer (Strong Medical Background Required)

1. Manages routine daily claims administration work.
2. Coordinates work flow & meets deadlines.
3. Evaluates claims with regards to eligibility.
4. Takes decisions on high cost and complicated cases based on standard operating procedures.
5. Handles International Preauthorization cases as required.
6. Attends calls and e-mails from insurance companies, clients, and providers.
7. Coordinates with international providers for direct billing.
8. Makes suggestions to improve service.
9. Increases efficiency, minimizes errors and administration time.

1. Organizational & time management skills.
2. Excellent team player.
3. Ability to work well with all levels of internal management and staff, as well as outside clients and users.
4. Ability to demonstrate sound work ethics.
5. Show flexibility with excellent interpersonal skills.
6. The ability to communicate sensitively and effectively with claims department and other departments while maintaining confidentiality.
7. Capability of responding diplomatically to pressures and problems, showing a calm approach to working towards deadlines.
8. Ability to exercise initiative and work flexibly under pressure and to tight deadlines.
9. Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner.

1. Strive for excellence at every touch point with the customer.
2. Foster state-of-art technical/operational knowledge and strive for continuous simplification.
3. Be the benchmark.

1. Empower the team and provide purpose and direction.
2. Develop people, provide feedback and care for employee wellbeing.
3. Collaborate and exchange best practices.

1. Act on opportunities, anticipate trends, take risks, and promote a culture that allows for honest failure.
2. Take ownership and responsibility.
3. Embrace innovation and a culture that allows making decisions without fear of retribution.

1. Act with integrity, honor commitments, tell the truth.
2. Foster diversity and inclusiveness.
3. Act transparently and promote corporate social responsibility.

1. Bachelor's of Medicine (MBBS) only.
2. Medical Practical Experience (reputable insurance provider, broker or TPA experience a plus).
3. Physically fit to carry out duties.
4. Legally permitted to work in the country of operations.
5. Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.