claims processor

IIQAF

<div><p><b>Location:</b> Dubai, United Arab Emirates<br>
<b>Industry:</b> Insurance<br>
<b>Job Type:</b> Full-Time<br>
<b>Salary:</b> <b>AED 6,500 &ndash; AED 7,500 per month</b></p>
<h3 class="jobSectionHeader"><b>Job Overview</b></h3>
<p>IIQAF Group is seeking a detail-oriented and analytical <b>Claims Executive</b> to join our growing insurance operations team in Dubai. The ideal candidate will manage <b>insurance claims processing, claims investigation, documentation review, customer coordination, and settlement procedures</b> while ensuring compliance with UAE insurance regulations.</p>
<p>This role is ideal for candidates searching for <b>Claims Executive jobs in Dubai</b>, <b>Insurance Claims Officer UAE</b>, <b>Claims Processor Dubai</b>, <b>Motor Claims Executive UAE</b>, or <b>Medical Insurance Claims roles</b>.</p>
<h3 class="jobSectionHeader"><b>Key Responsibilities</b></h3>
<ul><li>Process and evaluate <b>insurance claims (motor, medical, property, or general insurance)</b></li><li>
Review <b>policy coverage, claim documentation, and supporting evidence</b></li><li>
Investigate and validate claims to ensure accuracy and compliance</li><li>
Coordinate with <b>policyholders, brokers, surveyors, hospitals, and third parties</b></li><li>
Prepare <b>claims reports, settlement recommendations, and documentation</b></li><li>
Ensure compliance with <b>UAE Insurance Authority regulations and company policies</b></li><li>
Maintain accurate <b>claims records in CRM and insurance management systems</b></li><li>
Handle <b>customer inquiries and claim status updates</b> professionally</li><li>
Monitor turnaround times and ensure timely claim settlement</li></ul>
<h3 class="jobSectionHeader"><b>Required Skills &amp; Qualifications</b></h3>
<ul><li>Proven experience as a <b>Claims Executive, Insurance Claims Officer, or Claims Processor</b></li><li>
Strong knowledge of <b>insurance policies, underwriting principles, and claims procedures</b></li><li>
Familiarity with <b>UAE insurance regulations and compliance standards</b></li><li>
Experience using <b>insurance management software and CRM systems</b></li><li>
Excellent analytical, negotiation, and problem-solving skills</li><li>
Strong communication and customer service abilities</li><li>
Ability to work in a <b>fast-paced insurance environment</b></li></ul>
<h3 class="jobSectionHeader"><b>Preferred Qualifications</b></h3>
<ul><li>Bachelor&rsquo;s degree in <b>Insurance, Finance, Business Administration, or related field</b></li><li>
Experience in <b>motor insurance, medical claims, or general insurance claims</b></li><li>
Professional certification in <b>Insurance or Risk Management (preferred)</b></li></ul>
<h3 class="jobSectionHeader"><b>Why Join IIQAF Group</b></h3>
<ul><li>Career growth opportunities in the <b>UAE insurance sector</b></li><li>
Professional and structured work environment</li><li>
Opportunity to work with a reputable organization in Dubai</li></ul><br>
<p></p>
<p><b>Important Notice to All Job Applicants</b><br>
<br>
IIQAF does not collect any money from candidates at any stage of recruitment. We do not ask for fees for registration, interviews, job offers, visa processing, or onboarding.<br>
<br>
If you receive calls, emails, or messages requesting payment in the name of IIQAF, please treat them as fraudulent.</p>
<ul><li>Apply only through our official website and approved channels</li><li>
Verify communications through our listed contact details</li><li><p>
Do not transfer money to recruiters or agents claiming to represent us</p><p>
Please report any suspicious activity through our official contact page.</p></li></ul></div>

Claims Executive

ATLANTIS HOSPITAL

<ul><li><b>Claims Processing:</b> Submitting pre-authorization requests for cashless treatments and processing final, accurate insurance claims.</li><li><b>Liaison/Communication:</b> Acting as a bridge between doctors, hospitals, and TPA partners to ensure timely approvals and payments.</li><li><b>Documentation:</b> Reviewing medical records and insurance documents to prevent claim rejections.</li><li><b>Patient Support:</b> Guiding patients on insurance policy coverage, limitations, and exclusions.</li><li><b>Follow-ups:</b> Monitoring the status of claims and following up daily with insurers to ensure timely settlement.</li><li><b>Data Entry/Management:</b> Maintaining accurate records in TPA portals.</li></ul><p>Job Type: Full-time</p><p>Pay: ₹8,086.00 - ₹20,763.92 per month</p><p>Benefits:</p><ul><li>Health insurance</li><li>Provident Fund</li></ul><p>Work Location: In person</p>

TPA ASSISTANT

Medi Assist Insurance TPA Private Limited

<p><b>Roles and Responsibilities</b></p><p>01. Involves Processing of Claims / Preauth/ Audit ( Preauthorization / Reimbursement claims)</p><p>02. Validating and processing claims / Auditing within TAT and Quality</p><p>03. With good communication and medical Knowledge</p><p>04. Complete / process the assigned claims within a day</p><p><b>Financial :</b> To see to that there is no financial implication for the organization while settlement of claims</p><p><b>Role : </b>Medical Officer</p><p><b>Required Knowledge /Skill : </b>Good Medical knowledge to evaluate the treatment plan</p><p><b>Education : BDS / BHMS/ BAMS</b></p><p><b>Working timing: </b>General Shift / Morning Shift/ Afternoon Shift/</p><p><b>Job Location : </b>Dairy Circle, Bannerghatta Road, Bangalore</p><p><b>Note : </b>This position is for Working from office only. Please do not apply if you are looking for working from home.</p><p>Job Types: Full-time, Permanent</p><p>Pay: ₹20,000.00 - ₹25,000.00 per month</p><p>Work Location: In person</p>

BDS Doctors for working from Office _ Non clinical Company

Nextcare

<div>
 <strong>
  <strong>
   Key Responsibilities
  </strong>
  /What You Do
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Consistently checks, tracks and filing of all claims received.
  </li>
  <li>
   Data entry into company database
  </li>
  <li>
   Validating all received &amp; scanned claims against actualised volumes
  </li>
  <li>
   Perform analytical review of documentation received
  </li>
  <li>
   Ensures that there is a proper documentation, feedback, and endorsement to the concerned unit/department.
  </li>
  <li>
   Timely and precise recording of received claims.
  </li>
  <li>
   Supporting administrative function.
  </li>
  <li>
   Other Ad hoc duties as required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  AI READINESS
 </strong>
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 <br/>
 <br/>
 <strong>
  Key Requirements/What You Bring
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school diploma or equivalent; Bachelor&rsquo;s degree is advantage
  </li>
  <li>
   1-2 years&rsquo; experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
  </li>
  <li>
   Proficiency in MS Office
  </li>
  <li>
   A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
  </li>
  <li>
   Data entry experience would be helpful as it is quite important to be successful for the role
  </li>
  <li>
   Demonstrates excellent attention to detail, accuracy, and the ability to meet strict deadlines
  </li>
  <li>
   Ability to multitask, prioritize and work independently or within a team environment.
  </li>
  <li>
   Organizational skills
  </li>
  <li>
   Team player
  </li>
  <li>
   Physically fit to carry out duties.
  </li>
  <li>
   Ability to demonstrate sounds work ethics.
  </li>
  <li>
   Ability to work under pressure and manage time effectively
  </li>
  <li>
   Legally permitted to work in the country of operations.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  How we hire
 </strong>
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 <br/>
 <br/>
 <strong>
  Key Benefits/What We Offer
  <br/>
  <br/>
 </strong>
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 <br/>
 <br/>
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 <br/>
 <br/>
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in.
 <br/>
 <br/>
 We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 <br/>
 <br/>
 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
 <br/>
 <br/>
 Great to have you on board. Let's care for tomorrow.
</div>


Claims Administrator

Ascribe Healthcare Solutions

<div></div><div><div><div><div><div>A medical biller is responsible for submitting &amp; resubmitting medical claims to insurance companies and payers on behalf of the hospital. The main purpose of the role is to adjudicate and process the account/claim with quality in a professional manner according to policy terms and conditions. The medical biller will hold responsibility for the account/claim until payment is done. He/ She needs to apply the clinical guideline and sound judgment of medical necessity when assessing the account. Additionally, the role will need to interpret and process claims with correct usage of standard codes (e.g. ICD, DRG, CPT, and HCPCS) applicable billing structure, policy terms, and benefits. Ensure that all medical information is kept confidential as per compliance.</div>
</div>
</div></div><div><div><div><div><div><h4 class="jobSectionHeader"><b>Roles and Responsibilities</b></h4><ul><div><p>
Reviewing patient bills for accuracy and completeness, and obtaining any missing information</p></div><div><p>
Evaluates and processes claims per insurance policy terms and conditions</p></div><div><p>
 Work following company policies and procedures</p></div><div><p>
Identify and report back any type of claims observation or issues that may affect the process</p></div><div><p>
Evaluates and ensures that all claims denied or underpaid inappropriately by Payers are identified, appealed and reversed</p></div><div><p>
Reviewing claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries and makes recommendations for resolution</p></div><div><p>
Ensures that targets are met for department Turnaround time, Quality and Productivity</p></div></ul>
</div>
</div></div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Education, Experience, and skills needed</b></h4><ul><div><p>
Education: Degree in any related field preferably life science background.</p></div><div><p>
Minimum 1-2 years&rsquo; recent experience in Revenue Cycle Management - Eligibility and Authorization, Claim Submission &amp; Resubmission. Both inpatient and outpatient experience preferred.</p></div><div><p>
Expert knowledge of medical conditions, treatments, procedures and standard codes</p></div><div><p>
Willingness to work in different shifts</p></div><div><p>
Willingness to work from a different facility</p></div><div><p>
Analytical skills to review the account before submission to the payer and ensure all required data elements are correct as per the insurance and medical code sets</p></div><div><p>
Basic understanding of the billing and payer adjudication guidelines related to DHA</p></div><div><p>
Basic knowledge of medical terminology</p></div><div><p>
Proficiency in the use of PCs and MS Office suite</p></div><div><p>
Excellent in communication skills</p></div><div><p>
Understanding of the various RCM departments</p></div><div><p>
Fluent Arabic speaking skills</p></div></ul></div></div></div></div></div></div><p></p>

Medical Billing Executives - Dubai

ORBIT TELCOME AND TRADING ,

<p><b>Civil Engineer</b><br/>Plans, designs, and supervises construction projects such as roads, buildings, and infrastructure, ensuring safety, quality, and compliance with regulations.</p><p><b>Communication Engineer / IT Engineer</b><br/>Designs, implements, and maintains communication networks and IT systems, ensuring reliable connectivity, system security, and technical support.</p><p><b>HR Administrator</b><br/>Manages employee records, recruitment support, payroll coordination, and HR policies while ensuring compliance with labor laws and company procedures.</p><p><b>Insurance and Claims Administrator</b><br/>Processes insurance policies and claims, verifies documentation, communicates with clients and insurers, and ensures timely and accurate claim settlements.</p><p><b>Quantity Surveyor</b><br/>Manages project costs, prepares estimates and budgets, monitors expenses, and ensures construction projects are completed within financial limits.</p><p>Job Type: Full-time</p>

Civil Engineer/ it engineer/ comunication engineer/ hr admin/ grafts amn electric and civil/ quantit

Trinity Health

<b>Employment Type:</b><br>
Full time
<br><br>
<b>Shift:</b><br>
<b>Description:</b><br>
Monday-Friday 8:30 a.m.-5pm No Weekends w/Holiday Rotations
<br><br>
<b>Position Purpose:</b><br>
The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities include processing all frontend documentation needed to meet third party payer authorization deadlines assuring accurate billing. In addition, monitors all accounts for ongoing authorization needs to ensure optimal reimbursement and compliance per agency policy. This position works closely with the THAH insurance team and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished in a remote work environment.
<br><br>
<b>What You Will Do:</b><br>
<ul>
<li>Prepares and enters data into the appropriate software assuring the accuracy of the regulated client account following all regulations placed on the homecare agency. Ensures that input of information is accurate, and authorization is received timely for the submission of claims. Responds to all system issues by preparing documentation for the resolution center. Timely follow up on pending authorizations to ensure payment of claims.</li>
<li>Generates all authorization documentation needed to bill in a timely manner assuring industry standards are met. Monitors and processes the Subsequent Authorizations workflow and reports daily to assure timely and clean billing.</li>
<li>Utilizing the CQI Process Improvement technique, responsible for implementing and monitoring changes to processes to ensure continued integrity of client accounts. Collaborates with the Intake Department to identify processes for improvement ensuring the accuracy of the authorization process.</li>
<li>Provides statistical feedback regarding the status of unbilled claims due to authorizations to THAH Revenue team on a weekly basis or as defined by policy.</li>
<li>Interfaces with THAH to resolve problems related to the processing of bills/claims. Investigates client accounts and provides any additional documentation required.</li>
<li>Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical data entry and/or billing problems.</li>
<li>Coordinates the flow of billing related paperwork between the branch and THAH Service Center. Works with the branch and THAH colleagues to identify areas of improvement related to authorization workflow. Actively participates in all billing conference calls between the agency and THAH.</li>
<li>Acts independently and responsibly to perform duties on a consistent basis and in a timely manner.</li>
<li>Coordinates tracking system to monitor unbilled claims due to authorizations and utilizes appropriate monitoring reports available.</li>
<li>Acts as liaison between physician offices, THAH Service Center and the agency to assure timely billing with appropriate documentation.</li>
<li>Ensures that services provided support continuous quality improvement, customer-oriented focus, and quality client care outcomes.</li>
<li>The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned from time to time, as the scope of the job may change as necessitated by business demands.</li>
</ul>
<b>Benefits:</b><br>
<ul>
<li>Day 1 Benefits - Health, dental and vision insurance</li>
<li>Work Today Get Paid Tomorrow</li>
<li>Employee Referral Reward Program</li>
<li>Short and long-term disability</li>
<li>Tuition Reimbursement</li>
<li>Paid CEUs</li>
<li>403b</li>
<li>Generous paid time off</li>
<li>Comprehensive orientation</li>
</ul>
<b>Minimum Qualifications:</b><br>
<ul>
<li>The incumbent can articulate and demonstrate a commitment to the mission, vision, and values of Trinity Health and to inspire active support of these in others.</li>
<li>The preferred candidate will have a high school diploma or GED.</li>
<li>College business courses or an associate degree is preferred, or four to six years of experience in a medical billing office setting with a concentration on authorizations.</li>
<li>A strong knowledge of general business office functions, strong analytical and organizational skills and microcomputer usage is required.</li>
<li>Incumbent must possess the following: ability to meet strict deadlines with high level of accuracy, ability to prioritize multiple tasks in highly automated setting and possess strong interpersonal skills.</li>
<li>Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics and adhere to the Compliance.</li>
</ul>
Apply Today!!!!
<br><br>
Our Commitment
<br><br>
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Full-Time (40 Hours) Authorization Specialist

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