medical insurance claims specialist

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

Macrise Tech Solutions

Location: Wapda Town, LahorePrimary ResponsibilitiesAccounts Receivable &amp; Denial Resolution<ul><li>Oversee and manage pending insurance claims to minimize overall Accounts Receivable (AR).</li><li>Conduct daily review and follow-up of claim denials to ensure timely resolution.</li><li>Evaluate ERA reports to detect frequent denial reasons and recommend corrective action.</li><li>Prepare, submit, and monitor appeals for denied or underpaid claims with required documentation.</li><li>Identify and resolve payment variances; escalate complex cases to the Billing Manager when necessary.</li><li>Maintain updated AR aging reports and provide consistent weekly and monthly updates.</li><li>Manage claims related to specialized services such as TMS, Spravato, and psychological assessments.</li><li>Work closely with the Billing Manager to meet established AR reduction and recovery goals.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing-related queries from patients, providers, and internal departments promptly.</li><li>Verify and correct patient account details before initiating any collection activities.</li><li>Collaborate with providers to amend claim issues, including coding and documentation errors.</li><li>Coordinate with insurance payers regarding authorizations, eligibility, and network requirements.</li><li>Resolve patient concerns professionally and process refunds where applicable.</li></ul>System &amp; Process Efficiency<ul><li>Create and track support tickets in eClinicalWorks (eCW) to resolve billing issues efficiently.</li><li>Assist teammates with training and guidance on AR and denial workflows.</li><li>Coordinate with U.S.-based billing teams to ensure accurate and timely claim submission.</li><li>Participate in team performance meetings, analyze trends, and propose operational improvements.</li><li>Stay updated on payer policies, regulatory changes, and medical billing standards.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

AR & Claims Follow-Up Specialist (Medical Billing)

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

The Graduate Recruitment Specialist Ltd. Web

Everyone has a voice and the chance to make a difference. Their training ensures everyone has the opportunity to gain funded professional qualifications and continuous personal development. Teamwork is a fundamental part of how they work and as a collective unit we focus on achieving their goals together. Having fun, working hard and sharing in the company's success ensures they keep true to their ethos.NATURE OF BUSINESS:Our client offers a fresh approach to a traditionally overlooked sector. They are passionate about putting their customers first above all things. They are a true leader within their sector with a team that has more than a century of combined experience. This makes them the go-to experts for their client's third-party damage claims, no matter how bizarre or quirky. Employing their own team of specialist site operatives, allowing them to handle everything from claims to repairs in one smooth process.Company Accreditations:The Client is passionate about training within their organisation. Their employees can progress their professional qualifications and continually develop their skills within the industry.With roots firmly in repair and construction, dealing with unusual and sometimes unconventional projects, they have set out to become a repair and construction company with a real difference.They are members of the Charted Institute of Building (CIOB) and undertake professional qualifications within the membership to expand knowledge and experience in the industry. Their staff members also undertake examinations and progression through the Charted Institute of Insurance (CII) and other professional bodies dependent on the role.They are members of the Charted Institute of Building (CIOB) and undertake professional qualifications within the membership to expand knowledge and experience in the industry. Their staff members also undertake examinations and progression through the Charted Institute of Insurance (CII) and other professional bodies dependent on the role.Our client has split their intervention team in two due to business growth - SME (Subject Matter Experts) and normal intervention. For the SME side of the team, they are looking to bring someone into the business able to investigate circumstances around a claim. This would be for high value claims.Our client is looking to recruit a high calibre professional with excellent communication and investigative skills. You will be someone who is comfortable talking to people from all backgrounds and levels and be able to adapt accordingly. You will be looking to establish a permanent career within the team and be part of the exciting future of this organisation.As a member of this team, you will be allocated cases to investigate, dealing with a range of different clients. You will be required to investigate each case and ensure you have all the data correct, this will involve communication with the client, being able to listen and ask the right questions.If you are looking for a challenging business focused role that requires excellent attention to detail and offers variety, progression routes and training with a dynamic environment this is a role to be considered. Skills Required <ul><li>Proven client/customer focused experience in an office environment</li><li>Experience in the insurance sector</li><li>Ability to investigate and actively listen</li><li>The ability to work when required in a fast -paced environment</li><li>Emotionally intelligent</li><li>Experience dealing with customers over the telephone</li><li>Ability to work to deadlines</li><li>Personable and approachable</li><li>Ability to communicate effectively on all levels</li><li>Excellent attention to detail</li><li>IT literate and able to pick up new systems</li><li>Ability to work on own initiative and manage own workload as well as add real value to the team</li><li>Excellent progression.</li><li>Company pension which increases with time served</li><li>An industry leading maternity policy</li><li>£500 wellbeing payment at annual review</li><li>Loyalty bonus at milestone years</li><li>Support to continue training and paid for professional qualifications</li><li>Access to a Rising Stars programme and equal support for mental and physical wellbeing.</li></ul>HOURS OF WORK: 8.45 - 5.00pm Monday to Friday with a break for lunchHOLIDAY: 25 days plus bank holidays, an extra 16 hours of time off in lieu taken at no more than two-hour slots which equates to the total of 27 days plus bank holidays. An additional day is also given for your Birthday if it falls on a weekday.Please complete the below web submission form and a consultant will be in touch soon.

Subject Matter Expert - Claims

Unilever

<div>
 
 Function
 
 : Supply Chain
 
 
 
 Reports to:
 
 Arabia Contract to Cash and Stock Management Lead
 
 
 
 Scope:
 
 Local
 
 
 
 Location:
 
 Jeddah, KSA
 
 
 
 Terms &amp; Conditions:
 
 Full time
 
 
 
 About Unilever
 
 
 
 With 3.4 billion people in over 190 countries using our products every day, Unilever is a business that makes a real impact on the world. Work on brands that are loved and improve the lives of our consumers and the communities around us. We are driven by our purpose: to make sustainable living commonplace, and it is our belief that doing business the right way drives superior performance. At the heart of what we do is our people &ndash; we believe that when our people work with purpose, we will create a better business and a better world.
 
 
 At Unilever, your career will be a unique journey, grounded in our inclusive, collaborative, and flexible working environment. We don&rsquo;t believe in the &lsquo;one size fits all&rsquo; approach and instead we will equip you with the tools you need to shape your own future.
 
 
 
 Job Purpose
 
 
 
 Unilever is the place where you can bring your purpose to life with the work that you do &ndash; creating a better business and a better world. This role exists to ensure operational excellence in the end-to-end cash collection and claims management cycle. Corresponding with customers to close open invoices, settle claims, resolve disputes, and reconcile balances. Coordinating with colleagues in logistics and sales for open actions and to highlight risks or manage bad debts. You&rsquo;ll be part of a team that believes in doing work that matters &mdash; for people and the planet.
 
 
 
 What Will Your Main Responsibilities Be
 
 
 
 <ul>
 <li>
 Accurate and timely claims analysis and settlement with customers
 </li>
 <li>
 Ensure compliant and reconciled customer accounts
 </li>
 <li>
 Managing open items and aged balances to tackle disputes or risks to collection
 </li>
 <li>
 Cross-functional interactions with sales and logistics teams
 </li>
 <li>
 Monthly meeting with the cash &amp; claims team and leadership to update on open actions, opportunities, or risks
 
 
 </li>
 </ul>
 
 What You Need To Succeed
 
 
 
 
 Experiences &amp; Qualifications
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree, preferably in business/accounting/finance or supply chain
 </li>
 <li>
 Minimum 3 years of work experience, ideally in accounts receivables, collections, or claims management
 </li>
 <li>
 Experience in working across cross-functional teams and with external stakeholders
 </li>
 <li>
 Experience of working with key information systems (Excel, SAP)
 </li>
 <li>
 Excellent communication skills - Impactful and flexible communication
 </li>
 <li>
 Multitasking and ability to work with different ad hoc issues.
 </li>
 <li>
 Strong business acumen, passion for high performance
 
 
 </li>
 </ul>
 
 Skills
 
 
 
 <ul>
 <li>
 Customer focus
 </li>
 <li>
 Negotiation &amp; influencing skills
 </li>
 <li>
 Team player
 </li>
 <li>
 Passion for high performance
 </li>
 <li>
 Data Analytics
 
 
 </li>
 </ul>
 
 Leadership
 
 
 
 <ul>
 <li>
 You are energized by delivering fantastic results. You are an example to others &ndash; both your results and your resilience. You are constantly on the lookout for better ways to do things, engaging and collaborating with others along the way.
 </li>
 <li>
 As an individual you are the one responsible for your own wellbeing and delivering high standards of work. You must also focus on the Consumer and what they need. You are humble and have your head up, looking around to interpret evidence and data smartly, spot issues and opportunities to make things better.
 </li>
 <li>
 Critical SOL (Standards of Leadership) Behaviors
 </li>
 <li>
 PASSION FOR HIGH PERFORMANCE: Takes personal responsibility and accountability for execution and results. Has an owner&rsquo;s mindset, using data and insight to make decisions.
 </li>
 <li>
 PERSONAL MASTERY: Sets high standards for themselves. Actively builds own wellbeing and resilience.
 </li>
 <li>
 CONSUMER LOVE: Whatever their role, always looks for better ways to serve consumers. Invests time inside and outside to understand the needs of consumers.
 </li>
 <li>
 PURPOSE &amp; SERVICE: Has humility, understanding that leadership is service to others, inside and outside Unilever.
 </li>
 <li>
 AGILITY: Explores the world around them, continually learning and developing their skills.
 
 
 </li>
 </ul>
 Unilever embraces diversity and encourages applicants from all walks of life! This means giving full and fair consideration to all applicants and continuing development of all employees regardless of age, disability, gender reassignment, race, religion or belief, sex, sexual orientation, marriage and civil partnership, and pregnancy and maternity.
 
 
 Unilever is an organisation committed to equity, inclusion and diversity to drive our business results and create a better future, every day, for our diverse employees, global consumers, partners, and communities. We believe a diverse workforce allows us to match our growth ambitions and drive inclusion across the business. At Unilever we are interested in every individual bringing their &lsquo;Whole Self&rsquo; to work and this includes you! Thus if you require any support or access requirements, we encourage you to advise us at the time of your application so that we can support you through your recruitment journey.
</div>

Collections & Claims Specialist KSA

IGarner System

Job Title: Medical Billing SpecialistJob Description: We are looking for a Medical Billing Specialist with strong expertise in PIP, Workers&rsquo; Compensation, and No-Fault AR processes. The ideal candidate must be fluent in English and capable of handling end-to-end billing tasks efficiently, ensuring accuracy and timely claim submission.Key Responsibilities:<ul><li>Manage and process medical claims related to PIP, Workers&rsquo; Compensation, and No-Fault AR.</li><li>Review and verify patient information, insurance details, and claim accuracy.</li><li>Follow up on unpaid claims and handle denials or rejections promptly.</li><li>Communicate effectively with insurance companies, providers, and patients to resolve billing issues.</li><li>Maintain up-to-date knowledge of medical billing regulations and payer policies.</li><li>Prepare regular reports on account receivables and billing status.</li></ul>Requirements:<ul><li>Proven experience in Medical Billing with focus on PIP, Workers&rsquo; Compensation, and No-Fault AR.</li><li>Strong understanding of medical billing terminology and insurance procedures.</li><li>Excellent communication skills &mdash; fluency in English (verbal and written) is a must.</li><li>Attention to detail, accuracy, and time management skills.</li><li>Proficiency in billing software and MS Office tools.</li></ul>Working Hours: 6:00 PM &ndash; 3:00 AM (Night Shift)Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

ARE/Medical Billing Specialist

Job Title: Medical Billing &amp; Collections Specialist Location: Wapda Town, Lahore (if you want to include location)We are seeking a highly organized and detail-driven Medical Billing &amp; Collections Specialist to join our healthcare revenue cycle team. The ideal candidate will be responsible for accurately preparing insurance claims, managing patient billing, and ensuring timely payment collection. This role requires strong analytical skills, attention to detail, and effective communication with patients, insurance payers, and internal teams to support smooth billing operations and maintain strong cash flow.Key ResponsibilitiesMedical Billing<ul><li>Prepare and submit timely and accurate insurance claims and patient invoices.</li><li>Review all claims for accuracy, correct coding, and compliance with payer and regulatory guidelines.</li><li>Maintain organized and up-to-date billing records within the practice management system.</li><li>Process adjustments, credit memos, and payments accurately.</li><li>Verify and update patient demographics and insurance details regularly.</li><li>Generate monthly billing statements and custom Revenue Cycle Management (RCM) reports.</li><li>Assist the accounting team with reconciliations and month-end reporting.</li><li>Identify and recommend improvements to enhance billing accuracy and workflow efficiency.</li></ul>Collections<ul><li>Follow up proactively on outstanding insurance claims and patient balances to secure timely payments.</li><li>Manage and monitor Accounts Receivable (A/R) aging reports with focus on overdue accounts.</li><li>Coordinate with insurance providers to resolve delays, underpayments, and denials.</li><li>Handle patient billing inquiries professionally and set up payment arrangements when appropriate.</li><li>Work with patient services and billing teams to address complex collection cases.</li><li>Document all collection activities, communication, and follow-ups accurately in the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Claims & Collections Specialist – Medical Billing

Search 10000+ Medical insurance claims specialist jobs near you this November. New roles added regularly across leading industries. Apply today.