Client is a well known Managed care Insurance solutions provider in GCC. It is present across Gulf and is a part of a Global Insurance brand.

Role specs :

- Evaluate claims (Network & Direct) and provide authorizations for insured members.

- Handle calls relating to medical cases efficiently.

- Assess risk exposure of members in line with medical underwriting policies.

- Manage queries from providers, Insurance Companies and insured members relating to claims processing, evaluation and administration.

- Provide medical guidance to the Claims Department staff and assistance in ICD coding.

- Client Management / attending hospital visits to investigate on claims in order to minimize fraud and abuse.

- Compile data and prepare monthly statistical reports to monitor departmental performance and medical trends

Note: Employment visa shall be given in addition to yearly bonus, Insurance, ticket and working hours as per the UAE labour law. 5 days work week.

Interview Process: Skype followed by personal meeting in India.

IMP: Looking for immediate joiners.

Candidate specs :

- MBBS / MD degree

- Good to have experience in Medical Claims Evaluation preferably from TPA / MSO organization in Insurance sector.

- Knowledge of health insurance would be an advantage.

- Effective interpersonal and communication skills to manage client expectations, both internal and external with fluency in business English (written and spoken)

- Team player, motivated, dependable and open-minded.

- Cross-cultural competence, willingness to work on shift basis.

This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.