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accounting manager

claims manager

Wood PLC

<div><p>Wood is currently looking to recruit for a Claims Manager on ADNOC Gas EPCm project based in Abu Dhabi, UAE. #LI- OilandGasJobs #LI-EnergyJobs #LI- UAEJObs #LI- WorkinUAE #LI- EngineeringCareers
</p><p><b>Remarkable people, trusted by clients to design and advance the world.
</b></p><div><p><b>Our Clients and Projects
</b></p></div><div><p><b>Designing the future. Transforming the world.
</b></p></div><div><div><p>Across EMEA, our teams are providing solutions and expertise to support our growing client base, focused on combining maintenance and operations with asset management, modifications and engineering services across the energy and materials markets.
</p></div><div><p>We are focused on growth and our strategy is centered around building partnerships with our clients across the three regions: UK, Norway and the Middle East and Africa.
</p></div><div><div><p><b>What we can offer
</b></p></div><div><ul><li><b>Meaningful and interesting projects: </b>Delivered to high profile clients across the Energy Sector
</li></ul></div><div><ul><li><b>Commitment to Diversity and Inclusion: </b>We are an organization actively committed to diversity and inclusion across our business
</li></ul></div><div><ul><li><b>Competitive renumeration package: </b>With regular reviews to ensure we are rewarding at the right level in line with the market
</li></ul></div><div><ul><li><b>Medical Insurance: </b>Ensures inpatient, and outpatient medical care is available should you require treatment
</li></ul></div><div><ul><li><b>Group Life and Personal Accident Insurance </b>: The company provides Life Assurance cover
</li></ul></div><div><ul><li><b>End of Service Gratuity: </b>In line with UAE Labor Law, all employees are eligible for an End of Service benefit
</li></ul></div></div><div><div><ul><li><b>The Employee Share Plan </b>: Gives you the opportunity to purchase Wood shares and receive a match from the company
</li></ul></div><div><ul><li><b>Long Service Award: </b>Wood values the commitment and loyalty of our people. Celebrating Long Service provides an opportunity for the business to demonstrate their appreciation of the hard work, dedication and many years&rsquo; services of our employees at 5-year service milestones
</li></ul></div><div><ul><li><b>Commitment to continued professional development: </b>Development plans that are tailored to your individual needs and interests
</li></ul></div><div><ul><li><b>Global connections </b>: Join experts around the world who are at the leading edge of our industry, shaping the standards of our profession
</li></ul><div><ul><li><b>Energy Transition Academy: </b>Join a community of experts sharing your knowledge and gaining more exposure to a variety of existing and emerging energy systems &ndash; delivered by experts in their field</li></ul></div></div></div></div></div>
<br><div><p><b>Key Accountabilities and Responsibilities:
</b></p><ul><li>The Claims Manager reports directly to the Commercial Manager and is responsible for managing the full lifecycle of contractual claims within an EPCm framework. This dual role includes responding to subcontractor-originated claims directed at the client and proactively safeguarding EPCm Contractor&rsquo;s commercial interest by initiating / supporting claims against the client.
</li><li>The Claims Manager will deliver post-award contract management aligned with our Framework for Managing the Fundamentals (FMF).
</li><li>The Claims Manager may supervise others within the Commercial team.
</li></ul><p><b>Key Responsibilities
</b></p><p>Post-Award Contract Administration
</p><ul><li>Assessment of subcontractor variations / claims and resolution of disputes in accordance with the EPCM Construction Contract and EPCM Agreement.
</li><li>Management of Change, (MOC): A critical element of the role is to work closely with the Commercial Manager and MOC Engineer to identify and assess the impact of potential changes and raise variations to the EPCm Contract.
</li><li>Compliance Oversight: Manage contract administration in line with our existing policies/procedures to ensure strict adherence to contract terms, including initiating notices and reviewing guarantees / insurances.
</li><li>Contractual Correspondence: Working with SubContract Managers and actively managing contractual letters with EPCM Construction Contractors.
</li><li>Close monitoring of Subcontractor reports and maintenance of records in support of change requests.
</li></ul><p>Risk Management
</p><ul><li>Work with Commercial Manager and Risk Manager on identifying key contractual risks with the EPCM Construction Contractors and establishing quantum.
</li><li>Provide regular updates on potential changes / claims / disputes for management reporting and controls.
</li></ul><p>Financial and Cash Flow Management
</p><ul><li>Pro-actively keep commercial and finance teams apprised of current and emerging commercial issues - for payment and cashflow purposes.
</li></ul><p>Project Monitoring and Reporting
</p><ul><li>Stakeholder Reporting: Provide input into regular reports for senior management.
</li></ul><p>Project Oversight and Supervision
</p><ul><li>Team Supervision: Where appropriate, supervise team members, ensuring effective contract management, administration, and resource allocation.</li></ul></div>
<br><div><div><p><b>Skills And Qualifications
</b></p></div><div><p><b>What makes you remarkable?
</b></p></div><div><p>At Wood, we are committed to equal opportunities and welcome all talented individuals to consider joining our team. So even if you don't match every statement below but feel you have some of the experience, knowledge or skills needed for this role, we encourage you to apply. It will take all of us working together to deliver solutions to the world&rsquo;s most critical challenges.
</p></div><div><p><b>Expected:
</b></p><ul><li>Extensive Project Commercial Management Experience: The ideal candidate will have +25 years of proven experience in commercial management of large-scale engineering / construction contracts in the oil and gas industry.
</li><li>Contractual Knowledge: In-depth understanding of post-award contract management, including compensation models, risk mitigation, change management and dispute resolution.
</li></ul><p>Educational Background
</p><ul><li>Preferred Qualifications: Bachelor&rsquo;s degree in Quantity Surveying (QS), Engineering, Business, or Law.
</li></ul><p>Key Competencies
</p><ul><li>Leadership and Influence: Strong presence and the ability to lead without direct authority, fostering effective teamwork and collaboration across project teams.
</li><li>Flexibility: A mindset of proactively contributing as required to support the achievement of team goals.
</li><li>Communication: Strong communication skills, with the ability to influence, negotiate, and collaborate effectively across all levels of the organization.
</li><li>Organization and Detail-Oriented: Exceptionally organized, with a keen eye for detail and a methodical approach to managing tasks and coordinating resources.
</li><li>Problem Solving and Resilience: Ability to remain calm and decisive under pressure, adapting to project needs and evolving situations.
</li><li>Relationship Building: Skilled at building and maintaining relationships with project stakeholders, from client representatives to senior project and company leadership.</li></ul></div></div>
<br><div><div>Wood is a global leader in consulting and engineering, helping to unlock solutions to critical challenges in energy and materials markets. We provide consulting, projects and operations solutions in 60 countries, employing around 35,000 people. www.woodplc.com<br>
</div><div></div><br>
<div><b>Diversity Statement
</b></div><div>We are an equal opportunity employer that recognises the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment on the basis of objective criteria and without regard to the following (which is a non-exhaustive list): race, colour, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws.</div></div>

Claims Manager

Bilfinger

<p></p><div><div><div><div><div><b>Job ID: </b>68258
</div></div></div></div><div><div><div><div><p>Contracts Manager
</p></div></div></div></div><div><div><div><div>BTME_Abu Dhabi office, AZ, AE, 00000
</div></div></div></div><div><div><div><div>Onsite Work<br>
</div></div></div></div><div><div><div><div><div>In the Middle East, Bilfinger is one of the leading service providers of engineering and consultancy services, project management, construction, maintenance O&amp;M and life cycle services. We enhance the efficiency of our client&rsquo;s assets, ensure a high level of availability and reduce maintenance costs. With our 4.000 employees, we are a leading German corporation where engineering excellence, safety and quality are part of our DNA. With four entities in the Middle East (Bilfinger Tebodin Middle East, Bilfinger Deutsche Babcock Emirates, Babcock Borsig Service Arabia, Babcock Borsig Steinm&uuml;ller Kuwait) and over 10 offices across the region, we offer job opportunities that allow you to utilize all your knowledge and experience. Are you looking for a chance to put your skills to their best-possible use? Then we have what you are looking for!</div><div></div><div><b><br>
Position Summary</b></div>
<div>
We are currently looking to hire an experienced <b>Contracts Manager</b> to join our team on an ongoing <b>supervision project</b> in the <b>Mafraq area</b>. The project involves overseeing the contractor responsible for the construction of roads and infrastructure works on behalf of our client, <b>Aldar</b>.</div>
<div>
The successful candidate will be responsible for managing all contractual and commercial aspects of the project, ensuring compliance with contract terms, effective cost management, and supporting the supervision team in resolving contractual and claims-related issues.</div>
<p></p>
<div><b>Key Responsibilities</b></div>
<ul>
<li><div>Manage and administer project contracts in line with company policies and client requirements.</div>
</li>
<li><div>Review and interpret contract terms, conditions, and obligations to ensure compliance by all parties.</div>
</li>
<li><div>Evaluate and manage claims, variations, and change orders raised by the contractor.</div>
</li>
<li><div>Prepare, review, and issue contractual correspondence and notices in coordination with the Project Manager.</div>
</li>
<li><div>Provide contractual and commercial support to the project supervision team throughout the construction phase.</div>
</li>
<li><div>Review and verify contractor&rsquo;s payment applications and maintain accurate cost records.</div>
</li>
<li><div>Participate in meetings with the client and contractor to address contractual and commercial matters.</div>
</li>
<li><div>Maintain proper documentation and ensure contractual deliverables are met as per project timelines.</div>
</li>
<li><div>Assist in dispute resolution and ensure adherence to FIDIC and local contractual frameworks.</div>
</li>
</ul><p></p><div><b>Qualifications &amp; Experience</b></div>
<ul>
<li><div>Bachelor&rsquo;s Degree in Civil Engineering, Quantity Surveying, or a related field.</div>
</li>
<li><div>Minimum <b>20 years of total experience</b>, including strong exposure to <b>roads and infrastructure construction projects</b>.</div>
</li>
<li><div>Prior experience working with a <b>consultant or supervision firm</b> is preferred.</div>
</li>
<li><div>In-depth knowledge of <b>FIDIC conditions of contract</b> and UAE construction law.</div>
</li>
<li><div>Proven ability to manage contracts, claims, and variations effectively.</div>
</li>
<li><div>Excellent communication, negotiation, and reporting skills.</div>
</li>
<li><div>Proficient in MS Office and contract administration tools.</div>
</li>
</ul><p></p><div><b>Key Competencies</b></div>
<ul>
<li><div>Strong Contract &amp; Claims Management</div>
</li>
<li><div>Risk &amp; Cost Analysis</div>
</li>
<li><div>Commercial Negotiation Skills</div>
</li>
<li><div>Client &amp; Contractor Coordination</div>
</li>
<li><div>Documentation &amp; Reporting Accuracy</div>
</li>
<li><div>Leadership in Supervision Environment</div>
</li>
</ul><p></p><div><b>Work Environment</b></div>
<ul>
<li><div>Site-based position at Mafraq Area (UAE).</div>
</li>
<li><div>6-day work week (48 hours).</div>
</li>
<li><div>Requires coordination with client, contractor, and internal supervision teams.</div></li></ul><br>
<div></div>
<div>
To apply, please submit your CV in English through the system, containing as a minimum your contact details, education level, relevant experience and earliest possible start date.</div>
<div>
Any applicant must be aware that the selection of candidates is at the sole discretion of the employer. Applicants will not receive any communication unless they are selected for an interview. Only applicants that have responded to vacancies through the online form will be considered.</div><br>
</div></div></div></div><div><div><div><div>Tebodin Middle East Ltd. Branch UAE
</div></div></div></div><div><div><div><div>Engineering
</div></div></div></div><div><div><div><div>Permanent
</div></div></div></div><div><div><div><div>Skilled / Semi-skilled</div></div></div></div></div><p></p>

Contracts Manager

Arabian Construction Co.

<div>
 <p>
  <strong>
   Key Responsibilities
  </strong>
 </p>
 <br/>
 <p>
  <strong>
   Contract Administration &amp; Compliance
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Administer the Prime Contract with ADNOC, ensuring compliance with contract conditions, ADNOC guidelines, and EPC project execution strategy.
  </li>
  <br/>
  <li>
   Review, analyze, and interpret contract clauses, terms, obligations, and liabilities for risk assessment.
  </li>
  <br/>
  <li>
   Ensure implementation of ADNOC Codes of Practice (COPs), General Design Guidelines (GDLs), and Specifications within the contractual framework.
  </li>
  <br/>
  <li>
   Maintain accurate and updated records of all contractual correspondence, variations, claims, and disputes.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Claims &amp; Variations Management
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Prepare, evaluate, and defend contractual claims, variations, change orders, and extensions of time (EOT) in line with FIDIC and ADNOC procedures.
  </li>
  <br/>
  <li>
   Identify potential contractual risks early and provide mitigation strategies.
  </li>
  <br/>
  <li>
   Lead negotiations with Client (ADNOC/PMC), subcontractors, and suppliers for settlement of claims and commercial issues.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Subcontract &amp; Procurement Management
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Draft, review, and finalize subcontract agreements in line with ADNOC and FIDIC requirements.
  </li>
  <br/>
  <li>
   Monitor subcontractor performance, ensuring compliance with scope, schedule, and cost.
  </li>
  <br/>
  <li>
   Evaluate and certify subcontractor interim and final payment applications.
  </li>
  <br/>
  <li>
   Support procurement team in reviewing vendor terms &amp; conditions, ensuring alignment with main contract obligations.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Cost &amp; Commercial Management
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Support project controls in preparing cash flow forecasts, cost reports, and budget control in line with EPC execution plan.
  </li>
  <br/>
  <li>
   Identify potential cost overruns and contractual risks impacting project profitability.
  </li>
  <br/>
  <li>
   Ensure all commercial deliverables (invoices, payment certificates, insurances, guarantees, bonds) comply with ADNOC requirements.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Dispute Resolution &amp; Risk Management
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Provide expert advice on contractual disputes, arbitration, and adjudication matters.
  </li>
  <br/>
  <li>
   Maintain a proactive risk register in collaboration with project controls and legal teams.
  </li>
  <br/>
  <li>
   Represent the company in dispute boards, ADNOC commercial review committees, and arbitration hearings, if required.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Project Coordination &amp; Client Interface
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Act as the focal point for all contractual communications with Client (ADNOC), PMC, and subcontractors.
  </li>
  <br/>
  <li>
   Participate in progress review meetings, cost control reviews, and commercial negotiations.
  </li>
  <br/>
  <li>
   Ensure seamless coordination with engineering, procurement, construction, HSE, and QA/QC teams for contract-related issues.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Key Deliverables
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Contract Review Reports (Prime &amp; Subcontract)
  </li>
  <br/>
  <li>
   Claims &amp; Variation Submissions (Change Orders, EOT, Disruption Claims)
  </li>
  <br/>
  <li>
   Risk Register &amp; Commercial Reports
  </li>
  <br/>
  <li>
   Subcontract Agreements &amp; Evaluations
  </li>
  <br/>
  <li>
   Payment Certificates &amp; Cost Control Reports
  </li>
  <br/>
  <li>
   Dispute &amp; Settlement Documentation
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Qualification
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Bachelor&rsquo;s Degree in&nbsp;Engineering, Quantity Surveying, Construction Management, or Law&nbsp;from a recognized university.
  </li>
  <br/>
  <li>
   Master&rsquo;s Degree or Diploma in&nbsp;Contracts Management / Commercial Management&nbsp;preferred.
  </li>
  <br/>
  <li>
   Certification in&nbsp;FIDIC Contract Administration&nbsp;or&nbsp;RICS/CIArb membership&nbsp;will be an added advantage.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Experience
  </strong>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Minimum&nbsp;15+ years of progressive experience&nbsp;in&nbsp;Contract and Commercial Management&nbsp;within&nbsp;EPC projects&nbsp;(Oil &amp; Gas, Infrastructure, or Industrial Plants).
  </li>
  <br/>
  <li>
   Proven track record in managing&nbsp;ADNOC projects&nbsp;or similar large-scale Middle East EPC contracts.
  </li>
  <br/>
  <li>
   Strong expertise in&nbsp;FIDIC-based contracts, claims preparation, dispute resolution, and subcontract management.
  </li>
  <br/>
  <li>
   Demonstrated experience in&nbsp;client negotiations,&nbsp;commercial risk assessment, and&nbsp;project cost control.
  </li>
  <br/>
  <li>
   Excellent communication, analytical, and leadership skills
  </li>
 </ul>
</div>


J.S. Held LLC

<p>The Candidate will primarily be involved in delivering claims consulting and dispute resolution services to our clients.</p><p>An individual is required who can show initiative perform advanced data research manage client relations and deliver to tight deadlines. This role will involve frequent client interaction and will require the successful candidate to prepare and make presentations to communicate results. It is preferred that the individual has previous experience in providing consultancy services on substantial and / or complex disputes in quantum related matters. The candidate may be supporting lead experts in formal dispute processes. They should be able to demonstrate experience in writing expert reports to a high level and have strong industry experience.</p><p>We anticipate that the successful candidate will have a good academic record and be able to demonstrate how they have distinguished themselves within their chosen field. They will be expected to work collaboratively with the team and deliver commissions under high pressure and to the clients satisfaction. We expect the individual will be able to contribute to business development through networking and marketing activities.</p> Job Responsibilities <ul><li>Select appropriate analysis methodologies with guidance of manager assist in Stage 1 commission reviews and identifying claim strategy</li><li>Demonstrate ability to deliver concise and compelling event chronologies draft completed sections of Claim Reports in your 1st Language</li><li>Utilise appropriate structure and format of Report</li><li>Peer review critique and edit all subordinates work involved in commission</li><li>Manage allocated staff on any given assignment mentor junior staff</li><li>Provide real time feedback on work product and other activities to allocated resources and upstream to manager ensure allocated Commission elements are completed on time and on budget</li><li>Assist in preparation of bi-weekly reports to client ensure team timesheets are timely and accurate.</li><li>Ensure Invoicing is timely and accurate and assist accounts team in recovering payment of fees.</li><li>Engage in BD activities as requested by the BD Director willing to draft articles for publishing</li><li>Regularly attend marketing & networking events</li><li>Proactively assist in seeking out new work opportunities for the business</li></ul> Qualifications <ul><li>1st degree in construction or engineering subject</li><li>2nd degree in legal or construction management subject</li><li>Some training in dispute resolution matters</li></ul> Required experience <ul><li>5 years period of employment in leading international contracting organisation or owner organization with international project portfolio</li><li>3 years period of employment delivering consulting services or high end internal claims preparation / defence experience</li><li>Relevant claim preparation / defence experience</li><li>Awareness of importance of work winning and client network</li></ul> Benefits <p>J.S. Held understands all of our employees are people and sometimes life needs flexibility. We work to always provide an environment that best supports and suits our teams needs.</p><p>Our flexible work environment allows employees to work remotely when needed</p><p>Generous Annual Leave Policy</p><p>Comprehensive Medical Insurance</p> Other Duties <p>Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.</p><p>By submitting your application you acknowledge that you have read the J.S. Held Online Privacy Notice and hereby freely and unambiguously give informed consent to the collection processing use and storage of your personal information as required and described therein.</p><p>We embrace diversity and our commitment to building a team and environment that fosters professional and personal enrichment is unwavering. We are greater when we are equal!</p><p>J.S. Held is an equal opportunity employer that is committed to hiring a diverse workforce. All qualified applicants will receive consideration for employment without regard to sex gender identity sexual orientation race color religion national origin disability protected Veteran status age or any other characteristic protected by law.</p> Remote Work <p>Yes</p> Employment Type <p>Full-time</p> Key Skills <p>Fundraising,Management Experience,Coaching,Analysis Skills,Strategic Planning,Team Management,Budgeting,Leadership Experience,Mentoring,Public Speaking,negotiation,Supervising Experience</p> Vacancy <p>1</p>

Director

Insurance Company

<p>Davidson Management Consultants have been mandated to recruit a Medical Claims Processor OP for their client which is a Insurance Company in Abu Dhabi UAE We are looking for candidates Allied Healthcare professionals like Pharmacist Nurses Physiotherapists etc with a minimum of 2 years of work experience a Medical Claims Processor OP in Abu Dhabi Candidates without UAE work experience as a Medical Claims Processor OP would not qualify for this vacancy Salary upto AED per month Company Profile Davidson Management Consultants are a leading recruitment agency in Dubai specializing in leadership and healthcare recruitment The healthcare recruitment services cover recruitment and executive search services offered to hospitals medical centers and medical universities Our healthcare search consultants assist clients in recruiting allied healthcare professionals like sonographers occupational therapists and hygienists and doctors for all recognized medical specialties and subspecialties like Obstetrics and Gynecology Neonatology Pediatrics Urogynecology Maternal Fetal Medicine Gastroenterology Cardiology and Orthopedics etc</p>

Medical Claims Processor OP

National Reference Laboratory

<div></div><div><div><div><div><div><div><div>ID</div>
<div>2025-4919
</div></div><div><div>Category</div>
<div>Finance &amp; Revenue Cycle Management
</div></div><div><div>Asset : Name</div>
<div>HealthPlus
</div></div><div><div>City</div>
<div>Abu Dhabi
</div></div></div></div></div></div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div>We are looking for a detail-oriented and results-drivenInsurance Supervisor to join our team at HealthPlus IVF. This role oversees the entire insurance and revenue cycle function from pre-authorization and coding validation to claim submission, reconciliation, and audit readiness. The Insurance Supervisor ensures compliance with DOH, ADHICS, and payer regulations, strengthens relationships with insurers and TPAs, and safeguards financial accuracy across IVF and women&rsquo;s health services. This position is central to maintaining HealthPlus IVF&rsquo;s operational integrity and financial sustainability as it transitions into its next phase of growth and digital transformation</div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities
</b></h2><div><div><div><ul><li>Lead and oversee the end-to-end insurance and claims management cycle, ensuring accuracy, compliance, and timely reimbursement.</li><li>
Conduct monthly medical and technical audits before claim submission, validating coding integrity and documentation completeness across clinical specialties.</li><li>
Track and analyze RCM performance KPIs (denial rates, TATs, collection cycles) to ensure alignment with operational and financial targets.</li><li>
Manage resubmissions of rejected or underpaid claims, analyze root causes, and drive systemic corrective actions.</li><li>
Oversee referral activity, approval timelines, and claim distribution to coders to maintain efficiency and accountability.</li><li>
Conduct monthly rejection trend analyses to identify systemic gaps and implement preventive measures in collaboration with clinical and finance teams.</li><li>
Coordinate bundle cycle billing, package reconciliation, and pre-authorization validation in compliance with DOH and payer guidelines.</li><li>
Prepare audit-ready documentation for internal reviews, external auditors, Tasneef, and DOH inspections.</li><li>
Support policy implementation, SOP updates, and ongoing RCM training to reinforce compliance and operational excellence.</li><li>
Liaise with insurance partners and regulators to resolve escalations and maintain transparent communication channels.</li></ul>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications
</b></h2><div><div><div><ul><li>Bachelor&rsquo;s Degree in Healthcare, Business Administration, or related field.</li><li>
Minimum 5 years of progressive experience in insurance, revenue cycle, or claims management, preferably within IVF or women&rsquo;s health.</li><li>
Certification in medical coding (CPC, CCA, or CCS) is mandatory.</li><li>
Strong knowledge of UAE payer policies, coding standards, and DOH regulatory frameworks.</li><li>
Experience managing coders, billing teams, and RCM performance dashboards.</li><li>
Proficient in Microsoft Office and healthcare systems such as Meditex, OpenJet, and insurance portal platforms.</li><li>
Familiarity with ADHICS data protection and healthcare compliance standards is an advantage.</li></ul></div></div></div></div><div></div>

Insurance Supervisor (Healthplus IVF)

Fatorah Insurance Claims Settlement L.L.C

<p><b>Job Title:</b> Reconciliation Manager (Healthcare Insurance)</p><p><b>Company:</b> Accumed<br/><b>Location:</b> United Arab Emirates</p><p>Accumed is a leading name in the healthcare sector, and we are looking for a meticulous and results-driven Reconciliation Manager to join our dynamic Insurance Relationship Management team. If you have a deep understanding of healthcare insurance and revenue cycle management, and you excel at minimizing revenue leakage, we want to hear from you.</p><p><b>About the Role:</b></p><p>As a Reconciliation Manager, you will play a critical role in our Denial Management department. You will be responsible for ensuring the accuracy and timeliness of all reconciliation activities between payers and providers. Your primary focus will be on validating claims data, analyzing denial trends, and maximizing claim recoverability to maintain our financial health and operational excellence.</p><p><b>Key Responsibilities:</b></p><ul><li>Conduct detailed evaluations and retrospective audits of claims to categorize recoverable and non-recoverable amounts.</li><li>Generate and maintain detailed reconciliation reports (summary, claim-wise, activity-wise) on a monthly basis.</li><li>Implement strategies to optimize and maintain the provider claim rejection rate below 5%.</li><li>Solely manage the verification and upload of claims for the reconciliation process.</li><li>Act as the main point for external communication, ensuring the timely and accurate exchange of reconciliation data with payers and providers.</li><li>Analyze denial root causes and lead corrective actions to prevent future revenue leakage.</li></ul><p><b>What We're Looking For (Job Requirements):</b></p><ul><li>Bachelor&rsquo;s degree in Management or a related field.</li><li>7-8 years of experience in the Healthcare or Insurance industry, with a focus on reviewing insurance claims and optimizing rejection rates.</li><li>Proven experience in Healthcare Insurance and Revenue Cycle Management (RCM).</li><li>Strong analytical skills with the ability to work and analyze large databases.</li><li>Excellent proficiency in Microsoft Excel. Knowledge of billing software is a plus.</li><li>Meticulous attention to detail, persistence, and a results-oriented mindset.</li></ul><p><b>Key Performance Indicators (KPIs) You'll Be Measured On:</b></p><ul><li>Maintain overall claim rejection rate below 5%.</li><li>100% accuracy in claim evaluation and audit.</li><li>100% timeliness in claim verification, upload, and report generation.</li><li>Effective external communication and issue resolution.</li></ul><p><b>How to Apply:</b></p><p>If you are an efficient professional with the required experience and are ready to take on this challenging role, we encourage you to apply.</p><p><b>Please note: Only shortlisted candidates who meet the experience criteria will be contacted.</b></p><p>Job Types: Full-time, Permanent</p><p>Pay: AED1,000.00 - AED2,000.00 per month</p>

Reconciliation Manager

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Insurance Supervisor (Healthplus IVF)

Reconciliation Manager