Nurse Claims Officer - Insurance TPA

· A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.

· Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.

· In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.

· Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.

• Recording and maintaining insurance policy and claims information in a database system.
• Determining policy coverage and calculating claim amounts.
• Processing claims payments.
• Answering queries related to Policy coverage criteria and guidelines.
• Complying with federal, state, and company regulations and policies.

· Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.

· Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.

• Performing other clerical tasks, as required.

Job Types: Full-time, Permanent

Pay: AED6,000.00 - AED7,000.00 per month

Ability to commute/relocate:

• Dubai: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Preferred)

Experience:

• claim’s processor or in a related role.: 2 years (Preferred)