29 Claims Management jobs in the United Arab Emirates

This is a critical role that involves the timely and accurate processing of claims. The primary responsibilities include:

• Processing claim forms, adjudicating deductibles, co-pays, co-insurance maximums, and provider settlements.
• Entering claims data into the system with attention to detail and accuracy.
• Responding to queries from members, providers, and resolving problems that result from claim settlement in a timely and professional manner.
• Performing regular audits of randomly selected claims to ensure quality processing and detect any potential fraud.
• Researching claim overpayments and requesting reimbursement as necessary.
• Following established adjudication policies and procedures to ensure proper payment of claims.
• Providing exceptional customer service to members, providers, and other insurance companies.
• Maintaining and preparing departmental records with accuracy and efficiency.

To be successful in this role, you will require:

• A Diploma in Business Management or a related field, along with a Diploma in a Para-Medical Course.
• A minimum of one year of experience in claims management within the Insurance industry or a TPA Company.
• Basic knowledge of relational databases and excellent skills in MS Office.

This is an exciting opportunity to contribute to the success of our organization by working in a dynamic team environment.

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.

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.

Role Summary:

Manage insurance claims related to motor and non-motor risks, ensuring timely evaluation and processing.

Key Responsibilities :

• Evaluate and process motor/non-motor insurance claims in a prompt manner.
• Liaise with claims adjusters, underwriters, and assessors to validate claim legitimacy.
• Coordinate inspections, assessments, and investigations to determine claim validity.
• Communicate with clients regarding claim status and guide them through the process.

Customer Service Expectations :

• Handle client inquiries regarding motor/non-motor insurance claims.
• Provide claims assistance including documentation support.
• Establish strong relationships with clients to ensure long-term retention and satisfaction.

Compliance Obligations :

• Ensure all motor/non-motor claims processes comply with relevant laws and regulations.
• Stay updated on market trends, legislation, and insurance regulations.

Role Overview:

We are seeking an organized professional to manage insurance-related tasks within our organization.

• Process claims and verify coverage for patients' medical services.
• Coordinate with insurance providers to obtain pre-authorizations and verify eligibility and benefits.
• Review documentation for accuracy and completeness, and ensure compliance with regulatory requirements.
• Resolve billing discrepancies and follow up on outstanding claims.

Key Responsibilities:

Your primary focus will be to process claims efficiently and accurately, and handle all relevant documentation and communication with insurance providers promptly. Additionally, you will work closely with our team to verify insurance coverage, resolve billing discrepancies, and provide support to patients regarding their insurance inquiries.

Insurance Claim Management: This role requires strong organizational and analytical skills to manage multiple insurance claims simultaneously. You will be responsible for processing claims in a timely manner, verifying coverage, and resolving any discrepancies that may arise.

Communication Skills: Excellent communication skills are essential for this role, as you will be working closely with insurance providers, patients, and our internal teams to resolve claims and provide excellent customer service.

Compliance and Regulatory Requirements: You will need to stay up-to-date with changing regulatory requirements and ensure that all documentation is accurate and compliant with industry standards.

An Insurance Claims Specialist is responsible for managing insurance claims related to motor and various non-motor risks.

• Process and evaluate Motor/ Non-motor insurance claims in a timely manner.
• Liaise with claims adjusters, underwriters, and assessors to ensure the legitimacy of claims.
• Coordinate inspections, assessments, and investigations to evaluate claim validity.
• Communicate with clients regarding claim status and guide them through the process.

• Handle inquiries from clients regarding motor/non-motor insurance claims.
• Provide claims assistance including documentation.
• Build strong relationships with clients to ensure long-term retention and satisfaction.

• Ensure that all motor/non-motor claims processes comply with legal and regulatory requirements.
• Stay updated on relevant legislation, market trends, and insurance regulations.

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work under pressure and meet deadlines.
• Knowledge of insurance policies and procedures.

As an Insurance Claims Specialist, you will have the opportunity to work in a dynamic and fast-paced environment. You will be working closely with clients to resolve their insurance claims, and will have the opportunity to develop your skills and knowledge in the field of insurance.