Nurse - Claims officer - Insurance TPA

دوام كامل في TPA في UAE

نُشرت يوم February 12, 2025

تفاصيل الوظيفة

A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.

Responsibilities:

Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.
Keep meticulous records of claims and follow up on lapsed cases.
Record and maintain insurance policy and claims information in a database system.
Determine policy coverage and calculate claim amounts.
Process claims payments.
Answer queries related to policy coverage criteria and guidelines.
Comply with federal, state, and company regulations and policies.
Assess medical documents to approve or deny payment to doctors.
Communicate effectively with doctors' offices or insurance companies regarding claim issues.

Qualifications:

Extensive knowledge of medical terminology.
Experience using a computer.
Bachelor's degree (Preferred).
1 year of nursing experience (Preferred).
1 year of insurance experience (Preferred).
Fluency in Arabic (Preferred).
Eligibility letter or DHA (Preferred).

Job Details:

Job Types: Full-time, Permanent Pay: AED5,000.00 - AED6,000.00 per month

Commute/Relocation:

Dubai: Reliably commute or planning to relocate before starting work (Required)#J-18808-Ljbffr

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