Medical Claims Processor - Reimbursement Axa Life Insurance Posted on October 9, 2019 3 - 4 years Dubai - United Arab Emirates Bachelor of Science(Nursing). Any Nationality Send Me Jobs Like This SEND Alert Set Successfully Opening 01 Job Description EMAIL JOB SEND Email sent successfully. SHARE JOB *Job Purpose:•Adjudication and processing of reimbursement claims in accordance to policy terms and conditions in a timely manner, applying sound medical judgment based on best practice during assessment of claims.•Identification of trends related to abuse and fraudulent claims.•Interpret and process claims using knowledge of ICD codes, billing, benefits, and company policies.•To respond to and liaise as required with AXA policy holders, insurance brokers and network providers in a professional and courteous manner.Main Responsibilities:You will:•Process reimbursement claims following SOPs, applying sound medical judgment based on best practice and in accordance with the conditions & terms of the policies;• Handle relationships with clients and brokers regarding reimbursement claims by asking for additional information whenever required, by explaining the details of the settlements (i.e. application of the deductible and coverage, justify rejections and uncovered expense);• Process the claims within a reasonable time frame within SLA and meeting the set KPIs;• Minimize conflicts with clients whilst applying strictly the policy conditions;• Adjudicate and approve claims within the authority limits set and to refer cases to the claims manager for approval where authority limits are exceeded. Company Industry Insurance Department/Functional Area Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research Desired Candidate Profile *Minimum Requirements:• Sound knowledge of all medical insurance policies, billing policiesand pricing / fee arrangements;• Expert knowledge of medical conditions, treatments and procedures;• Bachelor degree or Equivalent (Medical related degree- nursing,therapy, medical technology, pharmacy);• At least 3 years experience on the same field;• Certified Medical Coder Keywords Medical Claims Processor - Reimbursement REPORT THIS JOB Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information.We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at firstname.lastname@example.org People Looking for Claim Processor Jobs also searched Dubai UAE All Jobs Claim Processor Jobs in Dubai Claims Associate Jobs in Dubai Examiner Jobs in Dubai Medical Jobs in Dubai Medical Insurance Jobs in Dubai Medical Coding Jobs in Dubai Claim Processor Jobs in UAE Claims Associate Jobs in UAE Examiner Jobs in UAE Medical Jobs in UAE Medical Insurance Jobs in UAE Medical Coding Jobs in UAE Claim Processor Jobs Claims Associate Jobs Examiner Jobs Medical Jobs Medical Insurance Jobs Medical Coding Jobs Axa Life Insurance View Contact Details Contact Name/ Designation: - Website https://jobs.axa/careersection/axa_uae/jobdetail.ftl?job=320872&lang=en Additional Information Required Employer has requested some additional information along with your application for this job Cancel Login to Naukrigulf Continue using GOOGLE FACEBOOK All your activity will remain private or Forgot Password?