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GluCare

<div>Job Summary:
GluCare Integrated Diabetes Center is seeking a highly organized and detail-oriented Insurance Coordinator to join our team. The Insurance Coordinator will be responsible for managing the insurance processes, including pre-approvals, claims submissions, resubmissions, and reconciliations. The role requires a thorough understanding of insurance policies, regulations, and healthcare billing systems. The ideal candidate will work closely with healthcare providers, patients, and insurance companies to ensure the smooth processing of claims and maximize revenue recovery.
Key Responsibilities:<ul>
<li>Pre-Approval Coordination: Ensure all required pre-approvals for treatments and procedures are obtained from insurance providers in a timely manner.</li>
<li>Claims Submission: Prepare and submit insurance claims in compliance with payer policies and regulations, ensuring accuracy and completeness.</li>
<li>Resubmissions &amp; Appeals: Handle rejected or denied claims by identifying errors or missing information and resubmitting or appealing claims as necessary.</li>
<li>Invoicing: Generate accurate invoices for patients and insurance companies, ensuring alignment with policy coverage and patient treatment plans.</li>
<li>Verification of Insurance Coverage: Check and verify patient insurance coverage and eligibility before services are provided, ensuring that the required services are covered under the patient's policy.</li>
<li>Reconciliation of Accounts: Work with the finance department to reconcile patient accounts, ensure payments are posted correctly, and identify any outstanding balances.</li>
<li>Patient Support: Provide clear communication and support to patients regarding insurance coverage, claims status, and any financial obligations they may have.</li>
<li>Maintaining Records: Keep detailed and organized records of all insurance-related documents, claims submissions, payments, and correspondence.</li>
<li>Liaison with Insurance Providers: Maintain strong working relationships with insurance companies, ensuring quick resolution of issues related to claims or approvals.</li>
<li>Compliance: Ensure that all insurance activities are in compliance with DHA (Dubai Health Authority) regulations and other relevant healthcare insurance standards in the UAE.</li>
<li>Regular Reporting: Provide regular reports on claim submissions, approvals, denials, and reimbursements to management for review and action.</li>
</ul>Understand, follow and support all hospital infection control programs
Requirements<ul>
<li>A Bachelor's degree in healthcare administration, business administration, or a related field is preferred.</li>
<li>Certified Professional Coder (CPC) Certified</li>
<li>Minimum of 2 years of experience in medical insurance coordination, claims processing, or healthcare billing within a healthcare facility or insurance company.</li>
<li>Experience in an endocrinology clinic will be an added advantage</li>
<li>Familiarity with UAE healthcare insurance regulations, insurance provider policies, and DHA standards. In-depth knowledge of coding systems such as ICD-10 and CPT codes is highly desirable.</li>
<li>Strong expertise in:</li>
<li><ul><li><ul><li>Approvals</li>
<li>Invoicing</li>
<li>Submissions and resubmissions</li>
<li>Eclaimlink and DHA regulations</li>
</ul></li></ul></li><li>Solid understanding of medical terminology and clinical justifications</li>
<li>Excellent communication skills, both verbal and written, to interact with insurance companies, patients, and healthcare providers.</li>
<li>Proficiency in healthcare billing software and systems.</li>
<li>Ability to analyze, prioritize, and solve issues related to insurance claims and denials.</li>
<li>Time management skills to handle multiple tasks and meet deadlines.</li>
<li>Language: Fluency in English is required. Proficiency in Arabic is an advantage.</li></ul></div>

Insurance Coordinator

Lockton

<div>
 
 
 Purpose of the role
 
 
 
 The successful candidate will be responsible for managing their own caseload of claims which will predominantly relate to Medical Malpractice and Employee Benefits
 
 
 The successful candidate will have solid experience of claims in a similar role and should be looking to make that next step in their career.
 
 
 The Senior Claims Handler will be working alongside our partners, producers, account executives, and brokers; to manage claims relationship with clients and to act as an ambassador for Lockton&rsquo;s claims offering.
 
 
 
 
 
 
 Your Responsibilities
 
 
 <ul>
 <li>
 Handle a variety of claims emanating from around the UAE and manage your own allocated portfolio of accounts.
 </li>
 <li>
 Handle claims from first advice to final settlement, to include setting up first advice, processing and managing subsequent movements on Lockton internal claims systems.
 </li>
 <li>
 Meet the agreed Service Standards, volumes and performance levels in line with the Key Performance Indicators and handle claims efficiently in proactive manner including negotiations, management of claims and the payment process.
 </li>
 <li>
 Possess excellent communications skills, attend regular calls and meetings with clients, provision of claims reports and management of Insurers.
 </li>
 <li>
 Report any major or sensitive claims to the claims manager and CRM responsible and assist in the monitoring and management of those claims to conclusion.
 </li>
 <li>
 Responsible for ensuring claims information is provided for renewal/quarterly meetings, liaising effectively with all stakeholders.
 </li>
 <li>
 Engage in effective negotiations with insurance companies and other parties to achieve reasonable claim outcomes for clients.
 </li>
 <li>
 Monitor all claims handling for allocated clients where claims are reported directly to insurers and where regular audits are required.
 </li>
 <li>
 Support team members&rsquo; allocated clients during leave.
 </li>
 </ul>
 
 
 
 
 
 Required Qualifications &amp; Skillset
 
 
 <ul>
 <li>
 
 Education:
 
 Bachelor&rsquo;s degree in insurance, business administration, or risk management
 </li>
 <li>
 
 Experience:
 
 Minimum of 2-5 years&rsquo; experience in insurance industry, with focus on handling Medical/Life claims
 </li>
 <li>
 
 Certifications:
 
 Professional qualifications (e.g. Cert CII, working towards Dip CII) and/or evidence of continuing professional development throughout career.
 </li>
 <li>
 
 Skills:
 
 </li>
 <li>
 Customer-focused with a commitment to providing exceptional service.
 </li>
 <li>
 Solid understanding of insurance policies, coverage, and the claims process.
 </li>
 <li>
 Display accurate communication and interpersonal skills, claims handling and negotiation skills.
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Analytical, organised and with attention to detail.
 </li>
 <li>
 Excellent use of standard Microsoft applications.
 </li>
 <li>
 Ability to articulate and promote Lockton&rsquo;s core values and mission and to act as an ambassador for the firm and its claims offering.
 </li>
 </ul>
 
 
 
 
 
 About Lockton MENA
 
 
 
 Headquartered in Dubai (UAE), with 400+ associates providing (re)insurance and people solutions, we have strength in handling major corporate clients in UAE and throughout the region. Offering innovation in our solutions, we service clients across the Middle East, North Africa and Pakistan customising the best protections for them.
 
 
 Lockton MENA was the first broker to achieve its own Lloyd&rsquo;s Broker license in the Middle East and holds an exclusive global partnership with the Chartered Insurance Institute (CII) under the International Professional Partner Firm (IPPF), demonstrating high professional standards and best practices, that distinguish the company among its peers in the industry.
 
 
 From our headquarters in Dubai, Lockton MENA has expanded operations into the UAE, Egypt, Jordan, Morocco and Oman.
 
 
 
 
 
 
 Equal Opportunity Employer
 
 
 
 Lockton is proud to provide everyone an equal opportunity to grow and advance. We are committed to an inclusive and diverse culture and environment where our people, clients and communities are treated with respect and dignity.
 
 
 At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learns from, celebrates, and thrives because of our breadth of differences. As such, we recognize that recruiting, developing, and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success.
 
 
 
 
 
 
 About Lockton
 
 
 
 Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 10,000+ Associates doing business in over 100 countries are empowered to do what&rsquo;s right every day.
 
 
 At Lockton, we believe in the power of all people. You belong at Lockton.
 
 
 
 
 
 
 How We Will Support You
 
 
 
 At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it.
 
 <ul>
 <li>
 Competitive Salary and Benefits Package
 </li>
 <li>
 Professional experience in a truly global company that is reshaping the industry
 </li>
 <li>
 Excellent growth opportunities
 </li>
 <li>
 Benefit from a collaborative approach with in-country specialists to assist you in driving growth
 </li>
 <li>
 Support, coaching and development to help you to be the best you can be
 </li>
 <li>
 Hybrid working model, offering you flexibility and a great working environment
 </li>
 </ul>
 
 
</div>

Senior Claims Handler

<div>
 
 
 As part of our commitment to Emiratisation, this role is prioritised for Emirati talent - supporting the development of future leaders in the insurance industry.
 
 
 
 
 
 
 
 Working at Lockton
 
 
 
 At Lockton, we&rsquo;re passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented, and always striving to make ourselves and those around us better. We&rsquo;re active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to our communities and being a part of our caring culture,
 
 
 you belong here
 
 
 .
 
 
 
 
 
 
 Purpose of the role
 
 
 
 The successful candidate will be responsible for assisting and growing to manage their own caseload of claims which will predominantly relate to Medical Malpractice and Employee Benefits
 
 
 The successful candidate will have knowledge and experience of claims in a similar role and should be looking to make that next step in their career.
 
 
 The Junior Claims Officer will be working alongside our partners, producers, account executives, and brokers; to manage claims relationship with clients and to act as an ambassador for Lockton&rsquo;s claims offering.
 
 
 
 
 
 
 Your Responsibilities
 
 
 <ul>
 <li>
 Handle a variety of claims emanating from around the country and support and manage on a portfolio of accounts.
 </li>
 <li>
 Handle claims from first advice to final settlement, to include setting up first advice, processing and managing subsequent movements on Lockton internal claims systems.
 </li>
 <li>
 Meet the agreed Service Standards, volumes and performance levels in line with the Key Performance Indicators and handle claims efficiently in proactive manner including negotiations, management of claims and the payment process.
 </li>
 <li>
 Possess excellent communications skills, attend regular calls and meetings with clients, provision of claims reports and management of Insurers.
 </li>
 <li>
 Report any major or sensitive claims to the claims manager and CRM responsible and assist in the monitoring and management of those claims to conclusion.
 </li>
 <li>
 Responsible for ensuring claims information is provided for renewal/quarterly meetings, liaising effectively with all stakeholders.
 </li>
 <li>
 Engage in effective negotiations with insurance companies and other parties to achieve reasonable claim outcomes for clients.
 </li>
 <li>
 Monitor all claims handling for allocated clients where claims are reported directly to insurers and where regular audits are required.
 </li>
 <li>
 Support team members&rsquo; allocated clients during leave.
 </li>
 </ul>
 
 
 
 
 
 Required Qualifications &amp; Skillset
 
 
 <ul>
 <li>
 
 Education:
 
 Bachelor&rsquo;s degree in insurance, business administration, or risk management
 </li>
 <li>
 
 Experience:
 
 Minimum of 2 years&rsquo; experience in insurance industry, with focus on handling Medical/Life claims
 </li>
 <li>
 
 Certifications:
 
 Professional qualifications (e.g. Cert CII, working towards Dip CII) and/or evidence of continuing professional development throughout career.
 </li>
 <li>
 
 Skills:
 
 </li>
 <li>
 Customer-focused with a commitment to providing exceptional service.
 </li>
 <li>
 Solid understanding of insurance policies, coverage, and the claims process.
 </li>
 <li>
 Display accurate communication and interpersonal skills, claims handling and negotiation skills.
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Analytical, organised and with attention to detail.
 </li>
 <li>
 Excellent use of standard Microsoft applications.
 </li>
 <li>
 Ability to articulate and promote Lockton&rsquo;s core values and mission and to act as an ambassador for the firm and its claims offering.
 </li>
 </ul>
 
 
 
 
 
 Equal Opportunity Employer
 
 
 
 Lockton is proud to provide everyone an equal opportunity to grow and advance. We are committed to an inclusive and diverse culture and environment where our people, clients and communities are treated with respect and dignity.
 
 
 At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learns from, celebrates, and thrives because of our breadth of differences. As such, we recognize that recruiting, developing, and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success.
 
 
 
 
 
 
 About Lockton
 
 
 
 Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 10,000+ Associates doing business in over 100 countries are empowered to do what&rsquo;s right every day.
 
 
 At Lockton, we believe in the power of all people. You belong at Lockton.
 
 
 
 
 
 
 How We Will Support You
 
 
 
 At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it.
 
 <ul>
 <li>
 Competitive Salary and Benefits Package
 </li>
 <li>
 Professional experience in a truly global company that is reshaping the industry
 </li>
 <li>
 Excellent growth opportunities
 </li>
 <li>
 Benefit from a collaborative approach with in-country specialists to assist you in driving growth
 </li>
 <li>
 Support, coaching and development to help you to be the best you can be
 </li>
 <li>
 Hybrid working model, offering you flexibility and a great working environment
 </li>
 </ul>
</div>

Junior Claims Officer

FTI Consulting

<div>
 
 Who We Are
 
 
 
 FTI Consulting is the leading global expert firm for organizations facing crisis and transformation. We work with many of the world's top multinational corporations, law firms, banks and private equity firms on their most important issues to deliver impact that makes a difference. From resolving disputes, navigating crises, managing risk and optimizing performance, our teams respond rapidly to dynamic and complex situations.
 
 
 At FTI Consulting, you'll work side-by side with leaders who have shaped history, helping solve the biggest challenges making headlines today. From day one, you'll be an integral part of a focused team where you can make a real impact. You'll be surrounded by an open, collaborative culture that embraces diversity, recognition, professional development and, most importantly, you.
 
 
 Are you ready to make your impact?
 
 
 
 About The Role
 
 
 
 FTI Consulting's Insurance Claims Services team specialise in the assessment of financial losses ensuing from insured perils. We quantify insured losses in the context of contractual claims, litigation, arbitration, expert determination and mediation.
 
 
 As part of the wider Economic and Financial Consulting practice, our multi-disciplinary team provides specialist accounting and insurance expertise to support our clients. We prepare independent and reliable assessments of the economic losses sustained by clients in a range of contexts, often following interruption to a business's operations. We work closely with international law firms and global conglomerates, on varied and challenging assignments across a wide spectrum of industries.
 
 
 
 What We Do
 
 
 
 Examples of some of our recent projects include:
 
 
 Quantifying economic losses ensuing from business interruption following operational restrictions arising from COVID-19
 
 
 We were engaged to assess the economic losses arising from the closure of our client's leisure resorts following the onset of the COVID-19 pandemic. Our tasks included the quantification of loss of profits, and associated savings across multiple properties, liaising closely with our client's appointed legal counsel to align our analysis with the client's policy specifications.
 
 
 Quantifying economic losses ensuing from property damage due to a fire at a pharmaceutical production facility
 
 
 We were engaged to assess the financial losses resulting from the fire at a manufacturing plant. Our tasks included ascertaining the property damage rectification costs and calculating the associated loss of profits and increased costs of working due to the temporary closure of the plant.
 
 
 
 What You'll Do
 
 
 
 Our practice is growing quickly, and it is an exciting time to join us. We work on fascinating projects across many different industries and in situations that matter greatly to our clients. As a Consultant you will have the opportunity to apply your intellect and skills to a diverse range of economic, valuation and business issues. You will play a key role in our projects, working in small teams to carry out industry, market, and quantitative analysis, and to report our findings in a clear, concise, and structured way.
 
 
 
 How You'll Grow
 
 
 
 We offer a competitive and attractive rewards package, excellent training and development, opportunities to work abroad, and a supportive and friendly environment that will help you to achieve your potential. The skills and experience you will develop with us will stand you in good stead for the rest of your career.
 
 
</div>

Consultant | Insurance Claims Services | Economic & Financial Consulting

Dubai Insurance TPA

&middot; A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.&middot; Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.&middot; In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.&middot; Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.<ul><li>Recording and maintaining insurance policy and claims information in a database system.</li><li>Determining policy coverage and calculating claim amounts.</li><li>Processing claims payments.</li><li>Answering queries related to Policy coverage criteria and guidelines.</li><li>Complying with federal, state, and company regulations and policies.</li></ul>&middot; 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.&middot; Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.<ul><li>Performing other clerical tasks, as required.</li></ul>Job Types: Full-time, PermanentPay: AED6,000.00 - AED7,000.00 per monthAbility to commute/relocate:<ul><li>Dubai: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>claim&rsquo;s processor or in a related role.: 2 years (Preferred)</li></ul>

Nurse Claims Officer - Insurance TPA

Sukoon Insurance

<div>
 
 
 Job Purpose:
 
 
 <ul>
 <li>
 As part of the Medical Team, the job holder will undertake data analysis, which includes creating triggers, trend analysis, and creative ways of establishing connections between various fields with a view to identifying fraud, waste, and abuse (FWA) in medical claims.
 </li>
 <li>
 The job holder will be responsible for collecting, importing, transforming, validating, summarizing, and publishing meaningful claims analysis reports to identify high-risk providers and ultimately lead to preparing claims samples to audit for on-field auditors.
 </li>
 </ul>
 
 
 
 
 
 Key Accountabilities:
 
 
 <ul>
 <li>
 Management Information System.
 </li>
 <li>
 Sanitize, arrange, analyze, interpret the data, and publish medical audit reports; trending dashboard from time to time/agreed on periodicity.
 </li>
 <li>
 Ensure data security and confidentiality.
 </li>
 <li>
 Accuracy and attention to detail will be paramount.
 </li>
 <li>
 Deal with large amounts of data: facts, figures, and number crunching.
 </li>
 <li>
 Present data in dashboards as charts, graphs, and tables as required.
 </li>
 <li>
 Constantly evolve new reporting templates as per the business need.
 </li>
 <li>
 Work closely with colleagues across the organization to resolve issues as they arise.
 </li>
 <li>
 Work closely with the respective team and provide recommendations on automation requirement-related reporting tools to improve reporting tools.
 </li>
 <li>
 Periodic team training on Data analysis and Audit sampling.
 </li>
 <li>
 Lead the existing data analysts within the audit team and improved skillset and outcome.
 </li>
 </ul>
 
 
 
 
 
 Skills Required:
 
 
 <ul>
 <li>
 Jobholder must be energetic and possess the ability to learn quickly in fast paced environment.
 </li>
 <li>
 Must have SAS Analytics experience, solid analytical Skills, and data mining aptitude.
 </li>
 <li>
 Alteryx knowledge is an additional value.
 </li>
 <li>
 Strong attention to detail; high degree of speed and accuracy.
 </li>
 <li>
 Strong proficiency in MS office suit (special Excel &amp; PowerPoint).
 </li>
 <li>
 Problem-solving capabilities and understanding of basic statistical methods.
 </li>
 <li>
 This role requires an understanding of programming logic, although no experience with a specific programming language is required.
 </li>
 <li>
 Medical audit &amp; investigation mindset is critical to the role.
 </li>
 </ul>
 
 
 
 
 
 Education, Experience, and Formal/Professional Qualifications Essential Skills:
 
 
 <ul>
 <li>
 Degree in Statistics/Mathematics.
 </li>
 <li>
 Advanced SAS Analytics knowledge/experience.
 </li>
 <li>
 Strong analytical skills and an understanding of system databases, and data elements, must be able to function independently.
 </li>
 <li>
 Para-medical background/education.
 </li>
 <li>
 Insurance experience.
 </li>
 <li>
 Minimum working experience of 4-5 years (1-2 years in UAE), preferably in health insurance.
 </li>
 <li>
 Basic knowledge of ICD, CPT, SQL, and Medical Insurance billing in the UAE environment.
 </li>
 </ul>
</div>

Specialist, Claims Analytics

Rashid Al Jabri Group

RAJ Group is hiring an Insurance Executive with Medical background, who has hands on experience in the all the medical insurance policies, including policy management, claim processing, client communication, and billing, while ensuring compliance with insurance company procedures and industry standards. Key responsibilities include managing member additions and deletions, processing claims and endorsements, coordinating with clients to ensure proper documentation, and maintaining good relationships with insurance providers and internal accounting teams.Medical Insurance Policy Administration:<ul><li>Manage employee medical insurance policies, ensuring all staff have appropriate coverage.</li><li>Handle enrollment, addition of new &amp; renewals, deletion and any other changes in medical insurance plans.</li><li>Address employee inquiries and issues related to medical insurance.</li></ul>Property Insurance Oversight:<ul><li>Oversee property insurance policies for company assets, including office buildings and other facilities.</li><li>Ensure all properties are adequately insured against risks such as fire, theft, and natural disasters.</li></ul>Workman Compensation:<ul><li>Administer workman compensation policies to protect employees in case of workplace injuries.</li><li>Ensure compliance with local labor laws and regulations.</li><li>Process claims and coordinate with insurers to facilitate timely payouts.</li></ul>Liability Insurance Policy Management:<ul><li>Manage liability insurance to protect the company against potential legal claims.</li><li>Ensure coverage is adequate and policies are updated as necessary.</li><li>Handle claims and coordinate with legal teams to manage any disputes.</li></ul>Claims Processing:<ul><li>Oversee the claims process for all types of insurance, ensuring timely and accurate submission.</li><li>Liaise with insurance companies to expedite claims and resolve any issues.</li><li>Maintain detailed records of all claims and track their progress until resolution.</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s degree in Business Administration, Insurance, or a related field.</li><li>Minimum of 3 years of experience in insurance management, preferably within the transportation or hospitality industry.</li><li>Strong knowledge of UAE insurance regulations and industry practices.</li><li>Excellent organizational and multitasking abilities.</li><li>Proficient in Microsoft Office Suite and familiarity with insurance management software.</li><li>Strong communication and negotiation skills.</li><li>Detail-oriented with strong analytical and problem-solving skills.</li></ul>Royal Smart Limousine is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.Job Type: Full-timePay: AED4,000.00 - AED6,000.00 per month

Insurance Executive

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