Description:
As a Medical Claims Manager, you will be responsible for managing the medical claims process, ensuring accurate and timely processing, and managing relationships with internal and external stakeholders.
RESPONSIBILITIES:
Oversee the medical claims process, including reviewing and adjudicating claims, ensuring compliance with regulatory requirements and company policies, and managing claims staff and vendors
Monitor and analyze claims data to identify trends, patterns, and opportunities for process improvements and cost savings
Develop and maintain relationships with healthcare providers, insurance carriers, and other stakeholders to ensure optimal claims processing and resolution
Develop and maintain claims processing procedures, workflows, and systems to ensure accuracy, efficiency, and compliance with regulatory requirements
Collaborate with other departments, including finance, legal, and compliance, to ensure timely and accurate claims processing and resolution
Provide exceptional customer service to policyholders and other stakeholders, responding to inquiries and concerns in a timely and professional manner
Develop and deliver training programs for claims staff and other departments as needed
Manage the claims budget, monitor expenses, and provide regular reporting and analysis to senior management
Maintain knowledge of industry trends, market developments, and regulatory changes that impact medical claims management
Participate in industry conferences and events to stay abreast of best practices and emerging trends in medical claims management
REQUIREMENTS:
Bachelor’s degree in Healthcare Administration, Business, or a related field
Minimum of 5 years of UAE experience in medical claims management
Strong knowledge of medical claims procedures, workflows, and regulations
Excellent analytical, communication, and problem-solving skills
Demonstrated ability to work effectively in a team environment, collaborate with other departments, and build strong relationships with stakeholders
Proficiency in Microsoft Office and claims management software programs
Professional designations such as CPCU, ARM, or AU are a plus
Job Description Commis II- Pastry Do you have an appetite for career progression and ready to take your culinary skills...
Apply For This JobDescription: Accountant required Requirements Bachelor’s Degree in Accounting or related field & to be certified by Ministry of Education...
Apply For This JobDetails: Posted on: 27th December 2022 Employment Type: Full Time Remote Job: No Monthly Salary: 4,000 – 5,999 AED Benefits:...
Apply For This JobJob Description Title:Subcontracts Manager Performs full range of procurement and administration activities associated with subcontracting work. Qualifies suppliers, issues requests...
Apply For This JobDescription: Business Development Executive required Experienced/Fresher Male/Female Location: Dubai Specification: Bachelor’s degree in Business, Marketing, Education, or a related...
Apply For This JobJob Discription We are looking for a Room Attendant to join our team and provide excellent customer service to our...
Apply For This Job