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insurance claims specialist

Interactive Insurance Brokers LLC

An insurance brokerage firm in Dubai is seeking a Claims Operations Supervisor for Pet Insurance to manage claims processing and oversee departmental operations. The ideal candidate will have veterinary clinic experience, excellent communication skills, and a strong customer service orientation. Responsibilities include educating pet owners, managing the claims process, and training sales teams on pet insurance products.

Pet Insurance Claims Operations Leader - Dubai

CAREZONE Home Health Care

<p><b>Job Location</b></p>
 
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 <p> <span>Dubai, <br> United Arab Emirates</span> </p>
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 <p> <span>2 to 5 years</span> </p>
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 <p>Qualification Level</p>
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 <p> <span>Graduate</span> </p>
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 <p>Job Function</p>
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 <p> <span>Insurance / Claims<br> </span> </p>
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 <p>Skillset</p>
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 <p> <span>insurance software and portals</span> </p>
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 <p>Preferred Jobseekers</p>
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 <p>Jobseekers from any country</p> 
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<span>Insurance Coordinator<br> <br><b>Job Location </b>: Dubai, UAE<br> <br><b>Key Responsibilities :<br></b> <br>  Manage and process insurance claims, pre-approvals, and reimbursements efficiently.<br>  Liaise with insurance providers, patients, and internal departments to ensure seamless operations.<br>  Review and verify insurance coverage, eligibility, and documentation accuracy.<br>  Maintain up-to-date records of insurance policies and transactions.<br>  Support the finance team in reconciling claims and tracking pending approvals.<br> <br><b>Required Qualifications :<br></b> <br>  Bachelor s degree in Business, Healthcare Administration, or a related field.<br>  Minimum 2 years of experience as an Insurance Coordinator in a healthcare or homecare setup.<br>  Strong understanding of UAE medical insurance processes and systems.<br>  Excellent communication, organization, and negotiation skills.<br> <br><b>Preferred Skills :<br></b> <br>  Familiarity with insurance software and portals.<br>  Knowledge of DHA/MOH regulations.<br>  Experience in sales or marketing within healthcare will be an added advantage.</span>
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Insurance Coordinator

Zurich Insurance

<div><div><div><div><div>Job Summary</div>
</div><div><div>
Zurich is one of the world&rsquo;s leading insurance groups, and one of the few to operate on a global basis. Our mission is to help our customers understand and protect themselves from risk. With around 55,000 employees serving customers in more than 210 countries and territories, we aspire to become the best global insurer as measured by our shareholders, customers and employees. We help individuals, small and medium sized companies and global corporations around the world understand and protect themselves from risk by offering a wide range of insurance products, solutions and advisory services.</div><div><br>
Commercial Insurance Middle East is looking for a <b>Junior Claims Adjuster</b> to join and play a key role in the expansion of our Claims Team. This individual will help and support the Claims Coordinator control in administrative, data entry and processing tasks. It is envisaged they will also build their own portfolio of lower complexity claims to help resolve these claims for our customers. They will build a technical knowledge whilst maintaining a strong customer-centric service and supporting our Zurich Middle East claims strategy.</div></div></div><div><div><div>
Job Accountabilities</div>
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As Junior Claims Adjuster, your main responsibilities will involve:</div>
<ul>
<li>Supporting the team in administrative data entry and processing tasks</li>
<li>Working and contributing as part of a busy and established team.</li>
<li>Following Claims best practices, standards and procedures.</li>
<li>Learning and developing a strong claims handling knowledge.</li>
<li>Focusing on data input accuracy and task completion.</li>
<li>Managing proactively assigned cases to conclusion by determining coverage by gathering and analysing relevant facts.</li>
<li>Establishing timely reserves and performing ongoing reviews throughout the claims-cycle by estimating and validating the value of claims.</li>
<li>Negotiating claims settlements by utilising available tools and resources within authority limits.</li>
<li>Ensuring case files are maintained in a timely and comprehensive manner.</li>
</ul></div></div><div><div><div>Job Qualifications</div>
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To be successful in this role, you will need:</div>
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<li>Must have a University or College Degree (or equivalent).</li>
<li>At least 2 years of experience working within an Insurance operation environment ideally in a Claims operation environment.</li>
<li>Insurance related Certificate from CII or CILA is desirable.</li>
<li>Strong attention to detail and data input accuracy.</li>
<li>A strong team member with a desire to learn and develop.</li>
<li>Strong negotiation skills combined with an investigative ability.</li>
<li>Fluency in English language skills, both written and spoken. Arabic desirable but not essential.</li>
<li>Excellent working knowledge of Microsoft Office products.</li>
</ul></div></div><div><div><div>Zurich Values</div>
</div><div><div>Collaborate Together</div><div>
Develop &amp; Grow</div><div>
Puts Customers First</div><div>
Motivational fit</div><div>
Make it Happen</div><div>
Problem Solving</div></div></div></div><div><b>
Why Zurich</b></div><br>
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At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?</div>
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We are an equal opportunity employer who knows that each employee is unique - that&rsquo;s what makes our team so great!<br>
Join us as we constantly explore new ways to protect our customers and the planet.</div><br>
<ul>
<li>Location(s): AE - Dubai</li>
<li>Remote working: Hybrid</li>
<li>Employment Type: Fixed Term Contract (12 Mos.)</li>
<li>Recruiter name: CI ME HR Team</li>
<li>Closing Date: 31 Oct 2025</li></ul></div>

Junior Claims Adjuster (12 mos. FTC)

Alliance Insurance Abu Dhabi

<b>Responsibilities</b>: <br><p>Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers.</p>
<p>Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.</p>
<p>Verify the accuracy and completeness of claim forms, medical records, and supporting documentation.</p>
<p>Investigate questionable claims by contacting healthcare providers, requesting additional information or documentation, and analysing medical records.</p>
<p>Make decisions on claim approvals, denials, or requests for additional information based on investigation findings and policy guidelines.</p>
<p>Ensure timely and accurate processing of approved claims for payment, including coordinating with finance departments and third-party administrators.</p>
<p>Communicate with policyholders, healthcare providers, and internal stakeholders regarding claim status, decisions, and any required actions.</p>
<p>Maintain detailed records of claims, correspondence, and investigation outcomes in accordance with regulatory requirements and company policies.</p>
<p>Ensure compliance with healthcare regulations, coding standards (e.g., ICD-10, CPT), and company policies throughout the claims process.</p>
<p>Provide excellent customer service to policyholders and healthcare providers, addressing inquiries and resolving <b>issues related to claims.</b></p><b>
 Qualification &amp; Skills: </b><br><ul>
<li>Bachelor of Medicine, Bachelor of Surgery (MBBS), Nursing degree, or relevant medical degree from an accredited institution.</li>
<li>Experience in the relevant health insurance industry is preferred.</li>
<li>Minimum knowledge of computer skills, including proficiency in Excel and other relevant software applications.</li>
<li>Strong analytical, communication, and problem-solving skills.</li>
<li>Attention to detail and ability to work efficiently in a fast-paced environment.</li>
<li>Ability to prioritize tasks and meet deadlines effectively.</li></ul>

Senior claims officer

Allianz

SUMMARY The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. MAIN TASKS   Manages routine daily claims administration work.   Coordinates work flow &amp; meet deadlines.   Evaluates claims with regards to eligibility.   Takes decisions on high cost and complicated cases based on standard operating procedures.   Handles International Preauthorization cases as required.   Attends cal SUMMARY The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. MAIN TASKS   Manages routine daily claims administration work.   Coordinates work flow &amp; meet deadlines.   Evaluates claims with regards to eligibility.   Takes decisions on high cost and complicated cases based on standard operating procedures.   Handles International Preauthorization cases as required.   Attends calls and e-mails from insurance companies, clients, and providers.   Coordinates with international providers for direct billing.   Makes suggestions to improve service.   Increases efficiency, minimizes errors and administration time. BEHAVIORAL REQUIREMENTS   Organizational &amp; time management skills.   Excellent team player.   Ability to work well with all levels of internal management and staff, as well as outside clients and users.   Ability to demonstrate sound work ethics.   Show flexibility with excellent interpersonal skills.   The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.   To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.   The ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.   Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others. BEHAVIORAL COMPETENCY Customer &amp; Market Excellence:   Strive for excellence at every touch point with the customer   Foster state-of-art technical/operational knowledge and strive for continuous simplification   Be the benchmark Collaborative Leadership:   Empower the team and provide purpose and direction   Develop people, provide feedback and care to employee wellbeing   Collaborate and exchange best practice. Entrepreneurship:   Act on opportunities, anticipate trends, take risk, and promote a culture that allows for honest failure   Take ownership and responsibility   Embrace innovation and a culture that allows to make decisions without fear of retribution. Trust:   Act with integrity, honor commitments, tell the truth   Foster diversity and inclusiveness   Act transparently and promote corporate social responsibility. MINIMUM REQUIREMENTS   Bachelor's of Medicine (MBBS) only.   Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).   Physically fit to carry out duties.   Legally permitted to work in the country of operations.   Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills 44265 | Operations | Professional | ((custPositionClusterCSB)) | Allianz Partners | Full-Time | Permanent Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We 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. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation. Great to have you on board. Let's care for tomorrow.

Medical Claims Officer

Imperial College London ...

OverviewFacility OverviewImperial College London Diabetes Centre (ICLDC), a key partner of M42, is a world-class outpatient facility dedicated to the treatment of diabetes, as well as research, education, and public health awareness. Established in collaboration with Imperial College London to meet the rising demand for diabetes care in the UAE, the Centre now operates four branches across Abu Dhabi, Al Dhafra, and Al Ain, positively impacting the lives of over one million people through its clinical services and health-focused initiatives.Role OverviewThe Senior Officer, Insurance Services reports directly to the Supervisor, Insurance Services and plays a key role in supporting both the finance and insurance teams in their day-to-day operations. This role involves a wide range of responsibilities, including but not limited to handling insurance authorizations, claim submissions and resubmissions, and processing medical claims. The Senior Officer ensures that all insurance-related activities are executed in full alignment with M42 s established procedures and regulatory guidelines. With a strong focus on accuracy, compliance, and collaboration, the Senior Officer contributes significantly to the efficiency of insurance workflows and the overall quality of patient care.ResponsibilitiesEnsure accurate processing of insurance and corporate claims in line with reimbursement agreementsCoordinate with insurance providers for eligibility checks, approvals, and reconciliationSupport verification, preauthorization, and benefit entry across departmentsCommunicate billing and insurance guidelines to staff and physiciansMaintain organized records and assist with payment tracking and auditsMonitor receivables and manage outstanding balancesAnalyze claim adjustments and ensure compliance with billing standardsCollaborate with billing clerks, utilization nurses, and supervisorsParticipate in staff training and contribute to process improvementsQualificationsMinimum 3 years of hands-on experience in handling pre-approvals, payer auditing, submission or resubmission and Medical Coding for DOH ClaimsCPC or CCS Certification Familiar with DOH claims adjudication guidelines

Senior Officer, Insurance Services

Ayadi Home Health Care LLC

Closing DateNumber of positions: 1Recruiter name: Fatma AlharthiReference number: 63629Workplace TypeMediclinic City Hospital | Dubai | United Arab EmiratesMAIN PURPOSE OF JOBEffectively and efficiently manage the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisationKEY RESPONSIBILITY AREAS Effective coordination of patient care plans to minimise financial risk for the company Effectively manage the quality of clinical documentation Provide clinical expertise for managing insurance claims with the supportive medical justifications based on good clinical practice Focus on continuous quality improvement of clinical documentationRequired EducationEssential: Bachelor Degree or Diploma in Nursing or Medicine Non-licensed PhysicianDesired: Bachelors or Master s Degree in Healthcare Management from a recognised institution Certificate in Clinical Coding (CCS/CCA/CPC/CPMA)Required ExperienceEssential: At least 3 years  experience in a clinical, insurance, medical auditing or coding role in a DRG billing environment within the UAE of which at least 1 year was in UAE HealthcareDesired: Experience in Theatre and/or ICU, Medical Insurance/funders background; experience in private healthcare environment or experience as a paramedicRequired Job Skills And KnowledgeApplication of clinical codesComputer literacy and proficiency in MS Office applicationsElectronic Health Records systems and related best practiceHealthcare revenue cycle management and billing processesICD-10 CM, CPT and DRG coding systemKnowledge of scientific nursing processes and associated proceduresPatient administration systems and related processesUnderstanding of and working knowledge of the typical patient journey through a hospital and the various service points of contactAll applicants will be considered, with the understanding that preference will be given to the designated groups in accordance with the United Arab Emirates Emiratization Program. If you wish to grow with us, apply now and become a part of the Mediclinic Middle East Family

Title Case Manager

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