About the job

Job purposeSupports health claims management, handles health claims assessments for Group and Individual Health business and service models, and assists with complaint reviews and client satisfaction.

• Area of knowledgeHealth claims management.
• Health claims assessments.
• UAE health insurance regulations.

• Main responsibilityHandles health claims pre-approvals, assessments, reviews, and provides claims decisions.
• Handles the relationship and communication with partners and reinsurance companies.
• Handles claims inquiries, escalations and complaints shared by regulatory bodies, clients, members, distributors, or any other internal or external party; as well as handles communication with the medical providers to resolve and conclude the said inquiries and escalations in a professional and short response time; maintaining a highly professional and respectful communication style.
• Monitor trends in inquiries and escalations, and alert management to any abnormal or recurring patterns.

Number of years of experienceMinimum 3 years of experience in a field relevant to the skills and experience required for the role.

EducationBachelor's Degree in a medical field.

• LocationDubai or Abu Dhabi office.