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.