Job Status : Closed

#HiringAlert #HiringAlerts #Dubaijobs #Medical Claims

#Hiring #ManagerMedicalClaims for #Dubai

One of our #insurance #clients is looking to #hire a “Manager – Medical Claims” for their #Dubai office.

𝐐𝐮𝐚𝐥𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬, 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐚𝐧𝐝 𝐒𝐤𝐢𝐥𝐥𝐬:

MBBS plus any other certification in the areas of of coding and auditing is an advantage.
Approximately 10 years of working in the Medical Claims in UAE market
Detail-oriented with strong organizational and time management abilities.
Problem-solving skills with the ability to make sound decisions under pressure.
Candidate should be within UAE

𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐢𝐛𝐢𝐥𝐢𝐭𝐢𝐞𝐬:

Lead and manage a team of claims approval officers providing guidance, training, and performance evaluations to ensure a high standard of work and achievement of departmental goals.
Oversee the end-to-end processing of medical claims, including verification, assessment, adjudication, and settlement, ensuring compliance with regulatory requirements and internal guidelines.
Collaborate with internal departments, such as underwriting, customer service, and finance, to resolve complex claims issues and ensure timely and accurate claim settlements.
Review and analyze claims data, identify trends, and implement strategies to improve claims processes, reduce fraud, and enhance overall operational efficiency.
Stay updated on relevant industry regulations, market trends, and emerging technologies in the medical claims field, implementing necessary changes to align with best practices and maintain competitiveness.
Handle escalated or sensitive claims cases, conducting investigations, negotiating settlements, and ensuring fair and equitable resolutions.
Prepare reports and present key performance indicators (KPIs) and other relevant metrics to senior management, highlighting areas for improvement and proposing actionable solutions.
Foster a culture of continuous learning, development, and teamwork within the claims department, promoting employee engagement and professional growth.