25 Claims Handling jobs in the United Arab Emirates

Analyzes claims and decides whether they are covered by policy.

Makes recommendations for the settlement of claims.

Informs clients if claims are accepted and how they will be allocated.

Organizes payments to clients and repair or replacement of lost items.

Makes sure all inquiries and payments are dealt with quickly.

Appoints insurance loss adjusters and private investigators when required.

Contacts independent experts in case of disputes and attends disputes tribunals.

Obtaining approvals for medical procedures.

Works closely with insurance companies/TPAs.

Communicates and follows up with insurance companies.

Explains clients about policy coverage.

Any complaint received from DHA to be attended to within one hour on the same day.

All reimbursement claims to be submitted after due verification on the same day to insurers.

About this role

We are seeking a professional to fill the position of Warranty Executive in our System Support (Aftersales Distribution operations) team based in Dubai, UAE.

As a key member of the team, you will be responsible for providing front-line support to staff, verifying and validating all warranty claims before submission to the principal portal for reimbursement.

You will also ensure that master data is up-to-date for GL account reconciliation, review processes to make business operations easier and faster, and liaise with other counterparts from Aftersales, Finance, and reconcile warranty accounts.

• Assist branches' service staff by answering queries and resolving warranty-related issues
• Liaise with counterparts from Aftersales, Finance, and reconcile warranty accounts
• Ensure timely submission of warranty claims in principal portals
• Liaise with principals on pre-approval requisitions created by Aftersales business locations
• Conduct internal warranty audits periodically and implement action plans to enhance processes and policies

Requirements:

• Graduate or Diploma Holder
• Automotive after-sales experience is mandatory
• Strong Microsoft Office skills, especially in Excel
• ERP or SAP experience

About our company

Our team is dedicated to ensuring the accuracy and efficiency of warranty claims processing, which is critical for generating warranty revenue for the company.

We offer a dynamic work environment, opportunities for growth and development, and a chance to work with a talented team of professionals.

This is an exciting opportunity to join a leading organization and contribute to our success.

Senior Medical Billing Executive Job Description

A Senior Medical Billing Executive is responsible for processing and submitting medical claims to insurance companies and payers on behalf of a healthcare organization.

• Review patient bills for accuracy and completeness, obtaining missing information as needed.
• Evaluate and process claims according to insurance policies and procedures.
• Identify and report issues affecting claims processing and implement corrective actions.
• Appeal and reverse claims denied or underpaid inappropriately.
• Maintain accurate records and reports, and provide regular updates to stakeholders.

The ideal candidate will have a degree in a related field, preferably life sciences, and over 2 years of experience in Revenue Cycle Management, including eligibility, authorization, claim submission, and resubmission; inpatient and outpatient experience preferred.

• Bachelor's degree in a related field (e.g. health administration, business administration).
• Minimum 2 years of experience in Revenue Cycle Management, including eligibility, authorization, claim submission, and resubmission.
• Inpatient and outpatient experience preferred.
• Excellent communication and analytical skills, with ability to work independently and as part of a team.
• Familiarity with industry standards and regulations (e.g. HIPAA).

This role offers a competitive salary and benefits package, including opportunities for professional growth and development.

Please submit your application, including your resume and cover letter, to be considered for this exciting opportunity.

We are seeking a highly organized and detail-oriented individual to analyze claims and make recommendations for settlement.

This position involves ensuring timely response to inquiries, organizing payments, and consulting with experts as needed. The ideal candidate will have excellent communication skills and be proficient in processing claims efficiently.

• Analyze medical claims and make decisions regarding coverage.
• Communicate effectively with clients and insurance companies.
• Explain policy coverage to clients.

• Detailed understanding of medical insurance policies and procedures.
• Excellent analytical and organizational skills.
• Ability to work accurately under pressure.

We are seeking an experienced and skilled Insurance Claims Services Consultant to join our team. As a key member of our practice, you will have the opportunity to work on fascinating projects across various industries and in situations that matter greatly to our clients.

Your primary responsibility will be to quantify insured losses ensuing from business interruption following operational restrictions arising from COVID-19. This involves preparing independent and reliable assessments of the economic losses sustained by clients in a range of contexts, often following interruption to a business's operations.

As part of our multi-disciplinary team, you will provide specialist accounting and insurance expertise to support our clients. You will work closely with international law firms and global conglomerates on varied and challenging assignments across a wide spectrum of industries.

Examples of some of your recent projects may include:

• Quantifying economic losses ensuing from property damage due to a fire at a pharmaceutical production facility
• Assessing the financial losses resulting from the fire at a manufacturing plant

Our practice is growing quickly, and it is an exciting time to join us. We offer a competitive and attractive rewards package, excellent training and development, opportunities to work abroad, and a supportive and friendly environment that will help you to achieve your potential.

We strive to attract, hire, acquire, develop, and retain the best and most talented individuals in the world. Our goal is to build and maintain a strong culture of diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, national origin or ancestry, gender, age, marital status, sexual orientation, status as a qualified individual with a disability, status as a protected veteran, union affiliation, genetic information, sex, citizenship status, or any other factor prohibited by law.

An Insurance Claims Professional is essential for managing, examining and processing insurance claims to ensure timely and accurate settlements.

• Review and analyze insurance claims to determine coverage eligibility and adherence to industry standards.
• Conduct thorough investigations by gathering documentation, interviewing relevant parties and collaborating with adjusters to resolve claim-related issues.
• Evaluate claims against regulatory guidelines and company policies to ensure compliance.
• Effectively communicate with clients, providers and stakeholders to clarify claim-related inquiries and concerns.
• Maintain accurate and detailed claim records and update management systems accordingly.
• Prepare comprehensive reports on claims and recommend suitable settlement options.

• Demonstrated experience in insurance claims or a related field.
• Strong knowledge of insurance industry regulations, standards and claims processing procedures.
• Excellent communication, negotiation and customer service skills.
• Able to analyze data and make informed decisions.
• Proficient in claims management software and Microsoft Office applications.

This role offers the opportunity to work in a dynamic environment, where you can utilize your skills and expertise to deliver exceptional results.

• Insurance claims experience
• Strong analytical and problem-solving skills
• Effective communication and interpersonal skills
• Ability to work in a team environment

Medical Insurance Coordinator

We are seeking an organized and communicative professional to optimize patient satisfaction, provider time, and treatment room utilization by effectively scheduling appointments.

• Patient Communication: Greet and attend to patients in person and over the phone, providing professional and courteous service at all times.
• Appointment Scheduling: Schedule appointments and ensure timely arrival, notify providers of patient arrivals, and maintain accurate records.
• Documentation and Confidentiality: Assist patients with completing necessary forms and documentation, maintain confidentiality of doctor, staff, and patient information, and adhere to data protection policies.
• Customer Service: Provide polite and effective customer service, maintaining a clean and calm reception area at all times.

• Minimum 2 years of experience in the UAE health industry.

Job Overview

We are seeking a highly skilled Insurance Claims Professional to join our team. As an Insurance Claims Professional, you will play a pivotal role in managing and organizing the insurance operations within an organization or healthcare facility.

This position involves the oversight of insurance claim processing, maintaining records, and ensuring compliance with regulations and policies. You will act as a liaison between patients, the organization, and insurance companies to facilitate efficient communication and problem-solving.

The ideal candidate must have excellent communication skills, a proactive approach to problem-solving, and the ability to work effectively in a fast-paced office environment.

Main Responsibilities

• Coordinate and manage all insurance claims processes for the organization.
• Maintain and update accurate records of insurance claims and transactions.
• Communicate with insurance companies to resolve billing and reimbursement issues.
• Ensure compliance with all state and federal regulations related to insurance billing.
• Review and verify insurance claims for accuracy before submission.
• Assist patients or clients with understanding and navigating their insurance plans.
• Develop and maintain strong relationships with insurance company representatives.
• Prepare and submit detailed reports on the status of insurance claims.
• Work closely with the billing department to ensure timely processing of claims.
• Stay updated on changes in insurance policies, procedures, and regulations.
• Train and support staff in insurance-related protocols and procedures.
• Identify process improvements to enhance service efficiency in insurance handling.

Required Skills and Qualifications

• Bachelor s degree in health administration, business, or a related field.
• Proven experience in insurance coordination or a related administrative role.
• Strong understanding of insurance policies, billing procedures, and regulations.
• Excellent communication and problem-solving skills to manage complex situations.
• Ability to manage multiple tasks efficiently while meeting deadlines.
• Proficiency in using office software and claim management systems.
• Detail-oriented mindset with a high degree of accuracy and reliability.
• Ability to work independently and collaboratively within a team environment.
• Strong organizational skills to handle extensive documentation and record-keeping.
• Experience in a healthcare or insurance setting is highly advantageous.

Benefits

This role offers a challenging and rewarding career opportunity for individuals who are passionate about working in the insurance industry. As an Insurance Claims Professional, you will have the opportunity to work with a dynamic team and contribute to the success of our organization.

About Us

We are a leading provider of innovative solutions in the insurance industry. Our mission is to deliver exceptional service and results to our clients and customers. We value integrity, innovation, and teamwork in everything we do.