Claim Processing Executive Sarab Al'IIman Corporate Service Provider LLC
Employer Active
Posted 1 hrs ago
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Experience
1 - 2 Years
Monthly Salary
AED 3,000 - 4,000 ($811 - $1,081)
Job Location
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
Company Industry
Department / Functional Area
Keywords
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Sarab Al'IIman Corporate Service Provider LLC
Corporate Service Provider