You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
A leading healthcare provider in the UAE is seeking an experienced administration professional to manage billing and claims processing. The role requires strong organizational skills, effective communication, and a minimum of two years’ experience. Candidates should have a Bachelor's degree in Commerce or Business Administration, with knowledge of cash billing procedures preferred. Proficiency in...
A leading healthcare provider in Abu Dhabi is looking for an experienced administrative professional to manage insurance claims and billing processes. The ideal candidate should possess a Bachelor's degree and have a minimum of two years' experience in cash billing procedures. Strong organizational and communication skills are necessary for this role, which involves interacting with co-workers...
A leading automotive manufacturer is seeking a Mid-Senior level Analyst in Dubai to develop and review market warranty policies and manage warranty claims processes. The ideal candidate will have a Bachelor's degree and fluency in both English and Chinese. Responsibilities include conducting training for local dealers, reviewing claims, and performing statistical analysis of claim cost data....
Overview Nurse - Claims Officer - Insurance vacancy in Dubai UAE Responsibilities - Validate information on clinical insurance claims from people seeking payment from their insurer. - Extensively examine claims to ensure there are no missing or insufficient details. - Maintain careful documents of insurance claims and act on lapsed situations. - Record and keep insurance and claims information...
A leading insurance firm in Dubai is seeking an Insurance Supervisor to oversee daily operations of the insurance team. The role involves supervising claims processing, ensuring compliance, and providing leadership to a team of professionals. The ideal candidate needs a relevant degree, 3-5 years of insurance experience, and strong analytical and communication skills. The position offers a...
Job Overview The Automation Claims Engine process lead is responsible for providing in-depth operational support related to Medical Controls Rules and Edits inside and outside TATSH IRIS which are used for claims adjudication The incumbent shall support in ensuring implementation of appropriate Edits inside clinical coding compliance coding education and training of all operations audit units and...
Experienced in Medical Claims Auditor in the insurance or TPA.- Coordinate with the providers or payers in case of mismatch between the provided statement of account and actual invoice submission. External Audit: Auditing the providers (Medical Documentation and Billing)- Updating the external audit report to the management- Auditing the In-patient, Out-patient reimbursement claims- Maintaining...
MAIN TASKSEvaluates medical claims/invoices from the technical and medical perspectives as per policy terms and conditions.Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.Ensures that provider’s fees and service items charges coincide with their existing contract price list with Nextcare.Ensures the accuracy of the...
The Motor Claims Handler is responsible for efficiently managing motor insurance claims from initiation to settlement ensuring a smooth and timely resolution for clients This role involves coordinating with policyholders insurance companies repair workshops and other stakeholders to process claims accurately while maintaining compliance with company policies and UAE regulations The primary goal...
Job Overview The role of the Claims Automation Manager is to plan lead and execute Global AP Health Strategy related to automation of claims and pre-approval decisions according to strict deadlines priorities and within budget The Automation Claims Engine Manager is responsible for defining automation objectives automated cost containment measures and KPIs for the initiatives under the scope of...
A leading healthcare provider in the UAE is seeking an experienced administration professional to manage billing and claims processing. The role requires strong organizational skills, effective communication, and a minimum of two years’ experience. Candidates should have a Bachelor's degree in Commerce or Business Administration, with knowledge of cash billing procedures preferred. Proficiency in...
A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports. Fluency in English and strong Microsoft...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
Job Overview The Automation Claims Engine process Lead is responsible for providing in-depth operational support related to Medical Controls Rules and Edits inside and outside TATSH IRIS which are used for claims adjudication The incumbent shall support in ensuring implementation of appropriate Edits inside clinical coding compliance coding education and training of all operations audit units and...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...
You will deliver highquality claims consulting and dispute resolution services to our clients with a focus on quantum matters. This is a clientfacing role that blends rigorous analysis with clear communication. Youll investigate and synthesise complex project data formulate defensible conclusions and help present those findings in reports meetings and formal proceedings. This position...