medical claims analyst

Munich Re

<div><div>Location Dubai, United Arab Emirates Job type Full-Time Work mode Hybrid Job level Professional Job ID 12761 Company Munich Re Employment type Regular Area of expertise Claims &amp; Underwriting</div></div>
 <div><div>The Medical Claims Analyst provides specialized support to the Munich Re Health Team across the Middle East Region, conducting comprehensive analysis of health insurance claims through both prospective and retrospective review methodologies. This position is essential to upholding clinical quality standards, enhancing operational cost-efficiency, and maintaining the integrity of billing and claims processes across all claim categories.
Your role:<ul><li>
Monitor and review pre-approvals in coordination with the insurance team, ensuring timely and clinically appropriate feedback on case management interventions.</li><li>
Conduct comprehensive coding reviews on all inpatient approvals to ensure compliance with ICD, CPT, and DRG standards.</li><li>
Implement evidence-based cost containment strategies, including provider negotiations, second medical opinions, and home country referral facilitation in collaboration with the insurance team.</li><li>
Periodically analyze outpatient claims to identify utilization trends, provider performance patterns, and document suspected fraud, waste, and abuse for escalation.</li><li>
Establish and maintain approval thresholds for different Third-Party Administrators (TPAs) in collaboration with insurance partners to ensure alignment with clinical quality and cost efficiency objectives.</li><li>
Provide clinical expertise and assistance in health insurance medical underwriting processes as required</li><li>
Review medical evidence and recommend appropriate coverage determinations</li><li>
Support risk assessment activities in collaboration with the underwriting team</li></ul>
Your Profile:<ul><li>
Bachelor's degree in Medicine (MD/MBBS) or equivalent medical qualification</li><li>
Current Certification in Medical Coding and Billing (e.g., AAPC, ICD-10, or equivalent regional certification)</li><li>
Minimum 3 years of hands-on experience in health insurance claims management in the UAE market</li><li>
Additional insurance qualifications (e.g., AICL, RPA) are highly desirable.</li><li>
Excellent problem-solving and time management skills</li><li>
Good interpersonal and communicational skills</li><li>
Team player, motivated, dependable, and open-minded</li><li>
Assertive, reliable and business-minded with good negotiation skills.</li></ul><ul><li>Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer.</li></ul></div></div>
 <div><div><div><h2 class="jobSectionHeader">Your Benefits</h2>
With us, you get more than just an exciting job. Enjoy a wide range of employee benefits tailored to your wellbeing and development. Please note that regional differences may apply.
</div><div><div>Competitive Salary
We provide fair and competitive compensation that reflects your performance and commitment.
</div><div>Company performance-based Incentives
In addition to your salary, our variable compensation approach allows you to share in Munich Re's success.
</div><div>Recognition and Special Rewards
We recognise outstanding individual contributions through a variety of targeted rewards and incentives.
</div><div>Retirement Planning
We support your long-term financial wellbeing with retirement solutions aligned with local regulations.
</div><div>Inclusive Workplace Culture
We foster a respectful, inclusive, and values-driven environment.
</div><div>Learning &amp; Development
We offer tailored learning opportunities with a strong focus on core skills and business-critical knowledge.
</div><div>Work-Life-Balance
Supporting your ability to balance family, leisure, and your career.
</div><div>Health &amp; Wellbeing
We support your physical and mental health through a range of programs and activities in each location.</div></div></div></div>

Medical Claims Analyst

Acrisure LLC

<div><h2 class="jobSectionHeader">Job Description</h2>
About Acrisure 
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
JOB SUMMARY
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.
Responsibilities<ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul>
Requirements<ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul>
Education and Licenses<ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul>
Pay Details:
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. 
Why Join Us:
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. 
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:<ul><li>
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</li><li>
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</li><li>
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</li><li>
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</li><li>
&hellip; and so much more!</li></ul>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. 
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. 
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. 
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. 
Welcome, your new opportunity awaits you.</div>

Claims Analyst II

South Central Regional Medical Center

<div>Epic Billing Claims &amp; Electronic Remittance Analyst &ndash; Job Description
Position Summary
The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, remittance advice (ERA), and payer connectivity. This role partners closely with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate, timely billing and reimbursement while supporting continuous optimization and regulatory compliance.
Application Build &amp; Configuration<ul><li>
Configure, support, and optimize Epic Billing Claims, Electronic Remittance (ERA), and related Revenue Cycle workflows.</li><li>
Build and maintain claim formats, payer edits, remittance routing, adjustment reason codes and posting logic.</li><li>
Support clearinghouse integrations and payer connectivity.</li><li>
Configure and troubleshoot ANSI X12 transactions (837, 835, 276/277, 999).</li><li>
Maintain payers-specific rules, claim edits, and remittance mapping.</li></ul>
Claims &amp; Remittance Operations<ul><li>
Troubleshoot claim rejections, denials and remittance posting issues.</li><li>
Analyze payer responses and identify root causes of claim failures or posting discrepancies.</li><li>
Support electronic payment posting, secondary billing and reconciliation processes.</li><li>
Partner with billing and follow-up teams to improve first-pass claim acceptance and payment accuracy.</li></ul>
Optimization &amp; Reporting<ul><li>
Participate in optimization initiatives to improve claims throughput, reimbursement accuracy and cash flow.</li><li>
Analyze workflows and recommend system enhancements aligned with Epic best practices.</li><li>
Develop and maintain reports and dashboards related to claims status, remittance posting and payer performance.</li><li>
Support system upgrades, patches and new Epic functionality related to billing and remittance.</li></ul>
Collaboration &amp; Governance<ul><li>
Collaborate with operational stakeholders, payers, clearinghouses, and vendor partners.</li><li>
Participate in governance groups, optimization committees, and project workgroups.</li><li>
Assist with testing (unit, integrated, and user acceptance testing) for Revenue Cycle changes.</li><li>
Provide end-user training, documentation, and ongoing support.</li></ul>
Compliance &amp; Quality<ul><li>
Ensure Epic build and workflows comply with regulatory requirements (CMS, HIPAA, payer rules).</li><li>
Support audits related to billing, claims, and remittance processing.</li><li>
Follow change management and documentation standards.</li></ul>
Qualifications
Required<div><ul><li>
Bachelor&rsquo;s degree in Information Systems, Business, Healthcare Administration, or a related field; or equivalent experience.</li><li>
1&ndash;3+ years of Epic experience preferred (Hospital Billing, Professional Billings, Claims, and Remittance).</li><li>
Hands-on experience supporting revenue cycle with focus on claims and electronic remittance.</li><li>
Understanding of healthcare billing workflows and payer interactions.</li><li>
Knowledge of EDI transactions (837, 835) and remittance processes.</li></ul></div><ul><li>
Strong analytical, problem‑solving, and troubleshooting skills.</li><li>
Excellent communication and customer service abilities.</li></ul>
Preferred<ul><li>
Epic certification in Billing or willingness to obtain within 90 days.</li></ul>
Competencies<ul><li>
Ability to translate billing workflows into technical Epic configuration.</li><li>
Strong attention to detail and commitment to documentation accuracy.</li><li>
Ability to work both independently and collaboratively with clinical teams.</li><li>
Strong organization, time management, and prioritization skills in a fast‑paced environment.</li><li>
Discretion and ability to manage PHI and sensitive patient information.</li><li>
Experience with Epic Hyperspace, Reporting Workbench, SmartTools, or clinical decision support is a plus.</li></ul>
Work Environment<ul><li>
Standard office environment with hybrid or in‑office options based on organizational policy.</li><li>
Occasional after‑hours or on‑call support during upgrades, go‑lives, and critical clinical workflows.</li></ul></div>

BILLING CLAIMS & ELECTRONIC REMITTANCE ANALYST

Ultimate Staffing

<div>
 
 We are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. The ideal candidate has strong working knowledge of
 
 ICD‑9 and ICD‑10 diagnosis coding
 
 and healthcare billing standards.
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 Review and process medical claims for completeness, accuracy, and compliance
 </li>
 <li>
 Apply ICD‑9 and ICD‑10 codes to evaluate claim validity
 </li>
 <li>
 Identify coding discrepancies, overpayments, and potential fraud or abuse
 </li>
 <li>
 Ensure claims adhere to payer policies, CMS guidelines, and regulatory requirements
 </li>
 <li>
 Document determinations and communicate findings as needed
 </li>
 </ul>
 
 
 Qualifications:
 
 
 <ul>
 <li>
 Proven experience as a Medical Claims Examiner or similar role
 </li>
 <li>
 Strong knowledge of
 
 ICD‑9 and ICD‑10 coding
 
 </li>
 <li>
 Familiarity with CPT, HCPCS, and medical billing guidelines
 </li>
 <li>
 Attention to detail and strong analytical skills
 </li>
 <li>
 Proficiency with claims processing systems and MS Office
 </li>
 </ul>
 
 
 Preferred:
 
 
 <ul>
 <li>
 CPC, CCS, or related certification
 </li>
 <li>
 Experience with Medicare, Medicaid, or commercial insurance claims
 
 </li>
 </ul>
 
 
 
 
 Desired Skills and Experience
 
 
 
 We are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. The ideal candidate has strong working knowledge of ICD‑9 and ICD‑10 diagnosis coding and healthcare billing standards.
 
 Key Responsibilities:
 
 
 Review and process medical claims for completeness, accuracy, and compliance
 
 Apply ICD‑9 and ICD‑10 codes to evaluate claim validity
 
 Identify coding discrepancies, overpayments, and potential fraud or abuse
 
 Ensure claims adhere to payer policies, CMS guidelines, and regulatory requirements
 
 Document determinations and communicate findings as needed
 
 
 Qualifications:
 
 
 Proven experience as a Medical Claims Examiner or similar role
 
 Strong knowledge of ICD‑9 and ICD‑10 coding
 
 Familiarity with CPT, HCPCS, and medical billing guidelines
 
 Attention to detail and strong analytical skills
 
 Proficiency with claims processing systems and MS Office
 
 
 Preferred:
 
 
 CPC, CCS, or related certification
 
 Experience with Medicare, Medicaid, or commercial insurance claims
 
 
 
 
 All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.
 
 
</div>

Medical Claims Examiner

AltuMed (Cube Healthcare Systems Pvt Ltd)

Work Location: Abbottabad (On Site)Shift timings: 8:00 AM - 5:00 PM5:30 PM - 2:30 AMWe are seeking a detail-oriented and experienced Medical Billing Executive to join our team. The ideal candidate will have a strong understanding of medical billing processes, insurance claims, and coding standards, along with the ability to manage multiple tasks efficiently.Education &amp; Experience<ul><li>Bachelor&rsquo;s degree from a recognized institution (required)</li><li>Minimum of 2 years of relevant experience in medical billing or insurance claims processing</li><li>Proficiency in Microsoft Office applications, particularly MS Word and MS Excel</li></ul>Key Skills<ul><li>Strong command of English (both written and verbal)</li><li>Excellent attention to detail and organizational skills</li><li>Basic understanding of ICD and CPT coding standards</li><li>Ability to manage multiple tasks and meet deadlines</li></ul>Key Responsibilities<ul><li>Verify patient insurance eligibility and coverage</li><li>Prepare, submit, and monitor insurance claims to ensure timely processing</li><li>Ensure compliance with ICD and CPT coding standards for accurate billing</li><li>Follow up on denied or unpaid claims to ensure resolution and payment</li><li>Generate and analyze financial reports related to billing and claims</li><li>Collaborate with internal departments to resolve billing discrepancies</li></ul>Compensation &amp; Benefits<ul><li>Market-leading salary</li><li>Medical insurance</li><li>Provident Fund and EOBI</li><li>Paid leaves</li><li>Cash advance facility</li><li>Performance-based bonuses</li><li>Annual increments</li><li>Allowances (Accommodation, OPD, Travel, Night, Utilities, Technical)</li><li>Parental leaves</li><li>Annual dinners and company trips</li></ul>Additional InformationPreference will be given to candidates from the Hazara Division, Khyber Pakhtunkhwa. However, candidates from across Pakistan are encouraged to apply.Pay: Rs40,000.00 - Rs60,000.00 per monthWork Location: In person

RCM Executive

Medlogix

<div><div><div>Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix&reg; technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients&rsquo; needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers&rsquo; compensation insurance carriers; third party administrators (TPAs); and government entities we serve.<div> 
Position: Bill Repricer Level II</div><div>
Location: Remote</div><div>
FMLA: Non-Exempt, Full-Time</div><div>
Schedule: M-F 8am-4:30pm</div><div> 
Job duties:</div><div></div><div> 
<ul><li>
Process and reprice auto medical claims through different system queues in &ldquo;first in first out&rdquo; order and making sure to keep up with client and regulatory SLAs</li><li>
Maintain communication when needed, between yourself and your supervisor</li><li>
Reach a daily average quota with the amount of claims/jobs you process</li><li>
Manually key medical bills from a HCFA, UB, NF-3 or Non-standard billing form</li><li>
Correct, verify and insert new provider information from bills that are in the processing phase</li><li>
Associate and claim match medical bills and additional documents from providers to their correct claim files located in MyMedlogix. These documents may come in large packets/files from providers that could contain multiple patients and documents and will need to be split up manually</li><li>
Other job duties as assigned</li></ul></div><div></div><div> 
Qualification:</div><div></div> 
Required:<ul><li>
Excellent written and verbal communication skills</li><li>
Must be process and task oriented</li><li>
Computer savvy and previous experience using Microsoft Office Products</li></ul><div></div> 
Preferred:
1+ years medical coding experience - CPT, ICD<div></div> 
EEOC STATEMENT:
Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.</div></div></div>

Bill Repricer - Level I (Remote)

SNQ Herbal

Are you a healthcare enthusiast with a talent for navigating the world of medical insurance? Med-Right LLC is looking for a proactive Medical Claims Coordinator to join our expanding team in Doha. This is more than just a desk job&mdash;it is an opportunity to be the vital link between patients, providers, and insurance companies. If you thrive on accuracy, enjoy problem-solving, and want to work in an environment that values professional growth, we want to hear from you.About the CompanyMed-Right LLC is a premier Third-Party Administrator (TPA) and healthcare management firm dedicated to making healthcare accessible and transparent. With a network of thousands of providers and a reputation for leveraging high-end technology, we simplify complex medical processes. At Med-Right, we believe that a healthy life is a happy life, and we work tirelessly to ensure our beneficiaries get the right care at the right time.Why Work With Us?<ul><li>Professional Growth: We provide regular training on the latest medical coding (ICD-10, CPT) and AI-driven claims processing tools.</li><li>Supportive Environment: Join a multicultural team that values respect, teamwork, and collaborative success.</li><li>Modern Benefits: Competitive tax-free salary, comprehensive private health insurance, and annual air ticket allowance.</li><li>Stability: Work with an ISO-certified organization that is a leader in the Middle Eastern healthcare sector.</li></ul>Key Responsibilities<ul><li>Review and evaluate medical claims for eligibility, accuracy, and compliance with insurance policies.</li><li>Coordinate with healthcare providers to obtain missing documentation or clarify billing discrepancies.</li><li>Process prior authorization requests and respond to inquiries from insurance companies and clients.</li><li>Monitor claims status and identify trends in denials to suggest process improvements.</li><li>Ensure all data entry is handled with high precision within our Claims Management System.</li><li>Maintain strict confidentiality of patient records in accordance with healthcare regulations.</li></ul>Skills and Requirements<ul><li>Education: Bachelor&rsquo;s degree in Pharmacy, Nursing, Medicine, or a related healthcare field.</li><li>Technical Skills: Proficiency in MS Office (especially Excel) and familiarity with medical coding systems (ICD-10/CPT).</li><li>Communication: Excellent verbal and written communication skills in English; Arabic is a plus.</li><li>Analytical Mindset: Strong attention to detail and the ability to spot errors in complex medical invoices.</li><li>Adaptability: Comfortable working in a fast-paced environment and learning new digital health tools.</li><li>Experience: 1&ndash;2 years in medical claims, insurance coordination, or a TPA setting is preferred, though motivated fresh graduates are welcome to apply.</li></ul>Join Our Team TodayReady to take the next step in your healthcare administration career? We have simplified our application process to respect your time. Click the apply button to submit your CV and join a company that is shaping the future of healthcare management in Qatar.Apply Now and start your journey with Med-Right LLC.Med-Right LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.الراتب المدفوع: QAR٥٬٠٠٠٫٠٠&nbsp;لكل شهرموقع العمل: بشكل شخصي

Herbal Products Coordinator

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