Employer Active

Posted 1 hrs ago

Experience

1 - 2 Years

Monthly Salary

AED 3,000 - 4,000 ($811 - $1,081)

Education

Any Graduation

Nationality

Any Nationality

Gender

Any

Vacancy

1 Vacancy

Job Description

Roles & Responsibilities

  • Evaluate submitted claims for accuracy, completeness, and validity, ensuring all required documentation is present and compliant with policy guidelines.
  • Investigate discrepancies and gather additional information from claimants, healthcare providers, and other relevant parties to facilitate a thorough claim assessment.
  • Determine claim eligibility based on policy terms, coverage details, and applicable regulations, ensuring fair and accurate claim adjudication.
  • Calculate benefit payments accurately, applying appropriate coding, pricing, and contractual agreements to finalize claim settlements.

Desired Candidate Profile

  • Possesses a Bachelor's degree in a relevant field such as healthcare administration, business administration, or a related discipline.
  • Holds a minimum of 2-3 years of experience in claims processing, preferably within the healthcare or insurance industry.
  • Demonstrates proficiency in using claims processing software, electronic health records (EHR), and other relevant technologies.
  • Exhibits a strong understanding of medical terminology, coding systems (e.g., ICD, CPT, HCPCS), and insurance claim processes.

Employment Type

    Full Time

Department / Functional Area

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Sarab Al'IIman Corporate Service Provider LLC

Corporate Service Provider