2380 وظيفة Supervisor Claim Adjudication Operations قريبًا مني

Group Company – Al Zahrawi & Al Oraibi Hospital

Position – Insurance cum Admin Manager

Location – Ras Al Khaimah, UAE

Qualification – Bachelor’s Degree

Experience – Min 5 yrs Experience as an Insurance Manager in a hospital setting in the UAE is must.

Other pre-requisites – Candidates with a valid UAE driving licence are preferred.

Role-

· The incumbent will lead the insurance team of hospitals.

· Manage the end-to-end medical insurance process for outpatient and inpatient services.

· Coordinate with insurance companies, TPAs, and corporate clients for empanelment, contract negotiations, renewals, and ongoing relationship management.

· Ensure timely submission and follow-up of pre-authorizations, approvals, and claims.

· Monitor claim rejections and coordinate with departments to minimize denials.

· Analyze rejection trends and implement corrective actions to improve claim acceptance rates.

· Ensure compliance with insurance policies, billing guidelines, and healthcare regulations.

· Resolve insurance-related patient concerns and escalations.

· Monitor outstanding insurance receivables and collaborate with the Finance Department to ensure timely collections.

· Manage the day-to-day administrative operations of the hospital.

· Coordinate with government authorities for approvals, inspections, and renewals.

· Supervise administrative staff and monitor departmental performance.

Salary and Benefits: Attractive Salary, Company Visa, Medical Insurance, Air Passage Allowance, One Month Annual Leave, Gratuity etc.

Apply – E mail CV to hr@gulfgroup.ae (write the position in the subject)

Or if you wish to submit your CV physically and meet our HR representative then drop your CV at Gulf Group Holding Head office in Nakheel. Contact number 07-2221414 Ext 45

Work Location: In person