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medical claims manager

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<div>Location: DIFC 
Role Overview
We are seeking an experienced and detail-oriented Claims Manager to lead and oversee the end-to-end claims management process across our insurance and reinsurance portfolios. The ideal candidate will possess a deep understanding of claims handling, reinsurance recoveries, policy interpretation, and regulatory compliance, ensuring fair and efficient claim resolutions. 
Responsibilities<ul><li>
Lead the claims function and ensure timely, fair, and compliant settlement of all claims</li><li>
Oversee claims registration, assessment, negotiation, and payment across all lines of business</li><li>
Review policy wordings, endorsements, and treaty terms to determine coverage applicability</li><li>
Liaise with reinsurers, brokers, adjusters, and legal advisors to manage complex and high-value claims</li><li>
Monitor reinsurance recoveries and ensure accurate reporting of ceded claims</li><li>
Develop and maintain claims procedures, documentation standards, and internal controls</li><li>
Analyze claims trends and loss ratios to support underwriting and risk management teams</li><li>
Supervise claims staff, providing technical guidance and performance management</li><li>
Ensure regulatory compliance with local insurance authorities and international standards</li><li>
Prepare management reports on claim reserves, outstanding losses, and performance metrics</li><li>
Drive continuous improvement and digitalization of claims handling processes</li></ul> 
Requirements<ul><li>
Bachelors degree in Insurance, Risk Management, Law, or a related field</li><li>
7 - 10 years of experience in claims management within insurance or reinsurance (property, casualty, or specialty lines)</li><li>
In-depth knowledge of policy wordings, reinsurance treaties, facultative placements, and recovery procedures</li><li>
Strong analytical, negotiation, and decision-making skills</li><li>
Familiarity with claims systems (Guidewire, SICS, or equivalent)</li><li>
Excellent communication and stakeholder management abilities</li><li>
Strong leadership and team development skills</li><li>
Professional qualifications (ACII, CPCU, or equivalent) preferred</li></ul></div>

Claims Manager

Allianz

Assist in managing and leading a team of claims adjusters.Act as a liaison between the Claims Manager and the claims team, ensuring clear communication and alignment of objectives.Step in for the Claims Manager during absences, maintaining continuity of leadership and operations.Assist the Claims Manager in the development and implementation of departmental strategies and goals.Provide regular updates and reports to the Claims Manager on team performance, claims processing, and customer satisfaction.Participate in strategic planning sessions and contribute to decision-making processes.Provide guidance, training, and mentorship to team members to enhance their skills and performance.Monitor team workload and ensure equitable distribution of tasks.Review complex or escalated claims and provide guidance on claim determinations.Resolve escalated customer inquiries and complaints regarding claims issues.Analyse claims data and performance metrics to identify trends and opportunities for process improvement.Prepare and present reports on claims activities, outcomes, and key performance indicators (KPIs) to senior management.Utilize data analysis to drive strategic decision-making and optimize claims processes.Actively participate in various operational activities, outside of claims, to ensure that operational service delivery is coordinated to meet and exceed clients' expectations.Assist in developing and updating claims policies and procedures.Ensure team adherence to all regulatory and company guidelines.Prepare and present regular reports on claims activity, performance metrics, and trends.Analyse data to identify areas for improvement and implement corrective actions.Other Ad hoc duties as require

Assistant Claims Manager

SD (Middle East) LLC

<div>Together, we make the difference.
We are a leading provider of innovative, high-performance solutions for airport logistics. Our portfolio includes advanced baggage and cargo handling systems, digital logistics software, and a full range of maintenance and support services. Our clients include some of the world&rsquo;s most renowned airports and airlines.

Join our dynamic Legal and Compliance team as a Contracts and Claims Manager, based in Dubai, UAE. This role offers the opportunity to work on high-impact projects across the region, with flexibility to travel and support operations in KSA when required.
What are my responsibilities?
<ul><li>Review and analyze contract terms and conditions with customers and main subcontractors.</li>
<li>Identify contractual risks, opportunities, potential claims, and obligations.</li>
<li>Support project teams in understanding, interpreting, and applying contractual provisions.</li>
<li>Safeguard the company&rsquo;s contractual entitlements through timely notifications and proper documentation.</li>
<li>Manage all claim-related activities, including correspondence, substantiation, and negotiation within the project scope.</li>
<li>Promote awareness of claim strategies and their operational implementation among project stakeholders.</li>
<li>Formulate and prepare incoming and outgoing claims in coordination with relevant project team members.</li>
<li>Maintain an up-to-date register of all claims, events, and contract documentation.</li>
<li>Support the procurement department in drafting and reviewing contractual documents.</li>
<li>Assist in reviewing tender documents and contracts to identify key terms, obligations, and potential risks.</li>
<li>Prepare clarifications and queries to clients during the tender stage.</li>
</ul>What do I need to qualify for the role?
<ul><li>Bachelor&rsquo;s degree in Engineering (any field) or a Commercial degree &mdash; ideally with specialization in Business Law, LLM, or similar.</li>
<li>Minimum of 5 years&rsquo; experience in EPC projects within the Middle East region.</li>
<li>Solid understanding of contract structures, terms and conditions, and related legal implications.</li>
<li>Proven familiarity with FIDIC and other standard contract forms.</li>
<li>Experience in delay analysis and time extension claims.</li>
<li>Proficient in MS Word, Excel, and PowerPoint.</li>
<li>Working knowledge of project planning and scheduling concepts.</li>
<li>Strong written and verbal communication skills.</li>
<li>Analytical mindset with excellent attention to detail.</li>
<li>Effective team player with collaborative approach.</li>
<li>Fluent in English.</li></ul></div>

Contracts and Claims Manager

WHEALTH INTERNATIONAL L.L.C

<ul><li>Analyze medical claims for accuracy, ensuring all details align with provided documentation and coding guidelines.</li><li>Investigate and resolve claim discrepancies, contacting providers and patients to gather necessary information and clarify issues.</li><li>Process claims efficiently using specialized software, meeting daily processing targets and maintaining a high level of accuracy.</li><li>Verify patient eligibility for benefits, confirming coverage details and communicating any limitations to relevant parties.</li></ul>

Medical Claims Processor

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

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

Montreal Management Consultants LLC

Key Responsibilities:Contract Management:<ul><li>Draft, review, and negotiate contracts, subcontracts, and agreements in accordance with company policies and legal requirements.</li><li>Ensure compliance with contract terms, conditions, and obligations.</li><li>Maintain accurate records of all contractual correspondences, variations, and amendments.</li><li>Monitor contract performance to identify potential risks, variations, or disputes early.</li><li>Support project managers in contract interpretation and implementation.</li><li>Pre Contract Stage- Preparation of tender documents including all bill of quantities specifications and particular conditions for proposed construction works.</li><li>Post Contract Stage- reviewing valuation of variations in accordance with the contract.</li></ul>Risk and Compliance:<ul><li>Support risk assessment and mitigation strategies related to contracts and claims.</li><li>Ensure compliance with applicable laws, regulations, and company procedures.</li><li>Advise management on contractual rights, obligations, and potential exposures.</li></ul>Qualifications and Skills:<ul><li>Bachelor&rsquo;s degree in Law, Quantity Surveying, Civil Engineering, or related field.</li><li>Minimum of 5&ndash;10 years of relevant experience in contract administration and claims management (construction, engineering, or infrastructure sector preferred).</li><li>Strong understanding of standard contract forms (e.g., FIDIC, NEC, JCT).</li><li>Excellent analytical, negotiation, and communication skills.</li><li>Proficient in MS Office and contract management tools.</li><li>Attention to detail and strong organizational abilities.</li><li>Ability to work under pressure and meet tight deadlines.</li></ul>Preferred Certifications:<ul><li>MRICS, MCIArb, PMP, or equivalent professional certification.</li><li>Training in construction law or contract management (an advantage).</li></ul>Job Types: Full-time, PermanentPay: AED25,000.00 - AED30,000.00 per month

COMMERCIAL MANAGER / CONTRACT-CLAIMS SPECIALIST

Explore 5075+ Medical claims manager in Dubai United Arab Emirates this November. Find roles across top companies and apply now to boost your career.