Job description
· A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.· Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.· In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.· Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.Recording and maintaining insurance policy and claims information in a database system.Determining policy coverage and calculating claim amounts.Processing claims payments.Answering queries related to Policy coverage criteria and guidelines.Complying with federal, state, and company regulations and policies.· Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.· Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.Performing other clerical tasks, as required.Job Types: Full-time, PermanentPay: AED6,000.00 - AED6,500.00 per monthAbility to commute/relocate:Dubai: Reliably commute or planning to relocate before starting work (Required)Application Question(s):
Responsibilities & skills
Education
Determining policy coverage and calculating claim amounts.Processing claims payments.Answering queries related to Policy coverage criteria and guidelines.Complying with federal, state, and company regulations and policies.
Experience
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Dubai Insurance TPA
This role is responsible for providing efficient clerical and organizational assistance to ensure smooth daily operations. This includes managing schedules, handling correspondence, maintaining records, and supporting internal teams with administrative tasks. The position serves as a key point of coordination to facilitate communication and workflow across the organization.
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