Qureos

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Insurance Supervisor

JOB_REQUIREMENTS

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Team Leadership & Supervision:

  • Supervise and manage a team of insurance team at any site in UAE.
  • Provide guidance and training to ensure team members are well-versed in insurance processes, policies, and regulations.
  • Conduct performance evaluations and manage staff development, including providing feedback, setting goals, and identifying growth opportunities.
  • Handle day-to-day team operations, assigning tasks, monitoring performance, and ensuring productivity and quality standards are met.

Insurance Claims

  • Oversee the processing and adjudication of insurance claims, ensuring that all claims are handled in a timely, efficient, and compliant manner.
  • Review files and policies, ensuring that coverage meets patients needs and company standards.
  • Manage the approval process, submission and resubmission of claims
  • Ensure accurate documentation and record-keeping for all insurance transactions.

Customer Service & Client Interaction:

  • Act as a point of escalation for customer issues or complaints related to insurance claims or policies.
  • Ensure excellent customer service is provided by the team, ensuring client satisfaction and retention.
  • Assist in responding to client inquiries, explaining policy terms, and resolving coverage-related issues.

Compliance & Risk Management

  • Ensure that insurance practices adhere to regulatory standards, internal policies, and industry best practices.
  • Monitor and ensure compliance with legal requirements, such as the accuracy of policy documentation, and file submissions.
  • Work with the risk management team to identify and mitigate potential risks and liabilities.

Reporting & Documentation:

  • Maintain accurate records of all insurance-related activities, ensuring proper documentation for audits and reviews.
  • Generate regular reports for upper management regarding claims performance, team productivity, and customer satisfaction.
  • Ensure all policies are accurately updated and renewed within required timelines.

Process Improvement:

  • Identify opportunities for process improvements within the insurance department to increase efficiency and reduce errors.
  • Implement new tools, technologies, or systems to streamline operations and improve the customer experience.

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