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Nurse - Claims Officer
Full time at a Laimoon Verified Company in Abu Dhabi, UAE

Nurse - Claims Officer Full time at a Laimoon Verified Company in Abu Dhabi, UAE

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Job highlights

Posted on May 1, 2018

Job details

Main responsibilities & duties :


• Knowledgeable about the majority of insurance policies administered by NAS Group

• Courteously attends to calls from providers enquiring about pre-authorizations and eligibility

• Provide accurate medical cover information and assessment

• Review, authorize or deny OP claims based on member's existing coverage & medical necessity

• Administer policy management activities under strict compliance with the regulatory authorities: such as HAAD and DHA as well as regional regulatory compliance

• Handle English speaking Callers ( ability to attend to Arabic Calls is a plus)

• Protect client info and confidentiality


Minimum requirements:


• University Graduate of Nursing or Pharmacy (essential)

• 2 years of experience in the above specialization

• Accepts to work on Rota-schedule and night shift, if required.

• Male candidates are preferred as shift timing may extend beyond 10 PM

• Previous contact center and / or Insurance experience is a definite advantage (a plus)

• Result-driven, able to assess cases and take accurate Medical/financial decisions

• Candidate must be tactful and discrete when dealing with different callers

• Excellent oral and written communication skills in English (essential)

• Must be able to handle confidential information

• Ability to work under pressure and comfortably manage different types of callers

• Computer literate

email at: vacancytpa

Other benefits

Annual ticket, medical and life insurance

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