Medical Claims Processor - Reimbursement - -Dubai
Dubai -Medical Claims Processor - Reimbursement (19000CJB) PRIMARY LOCATION : UNITED ARAB EMIRATES-UNITED ARAB EMIRATES-Dubai - ORGANIZATION : AXA Gulf CONTRACT TYPE : Regular SHIFT : Day Job SCHEDULE : Full-time DESCRIPTION Job Purpose: Adjudication and processing of reimbursement claims in accordance to policy terms and conditions in a timely manner, applying sound medical judgment based on best practice during assessment of claims. Identification of trends related to abuse and fraudulent claims. Interpret and process claims using knowledge of ICD codes, billing, benefits, and company policies. To respond to and liaise as required with AXA policy holders, insurance brokers and network providers in a professional and courteous manner. Main Responsibilities: You will: Process reimbursement claims following SOPs, applying sound medical judgment based on best practice and in accordance with the conditions & terms of the policies; Handle relationships with clients and brokers regarding reimbursement claims by asking for additional information whenever required, by explaining the details of the settlements (i.e. application of the deductible and coverage, justify rejections and uncovered expense); Process the claims within a reasonable time frame within SLA and meeting the set KPIs; Minimize conflicts with clients whilst applying strictly the policy conditions; Adjudicate and approve claims within the authority limits set and to refer cases to the claims manager for approval where authority limits are exceeded. QUALIFICATIONS Minimum Requirements: Sound knowledge of all medical insurance policies, billing policies and pricing / fee arrangements; Expert knowledge of medical conditions, treatments and procedures; Bachelor degree or Equivalent (Medical related degree- nursing, therapy, medical technology, pharmacy); At least 3 years experience on the same field; Certified Medical Coder ABOUT AXA Would you like to wake up every day driven and inspired by our noble mission and to work together as one global team to empower people to live a better life? Here at AXA we strive to lead the transformation of our industry. We are looking for talented individuals who come from varied backgrounds, think differently and want to be part of this exciting transformation by challenging the status quo so we can push AXA - a leading global brand and one of the most innovative companies in our industry - onto even greater things. In a fast-evolving world and with a presence in 64 countries, our 166,000 employees and exclusive distributors anticipate change to offer services and solutions tailored to the current and future needs of our 103 million customers. With a workforce of over 1,000 employees, 44 branches & retail shops region-wide, more than 1 million customers and 2015 gross written premium of over US$ 963 million, AXA is one of the largest international player in the GCC. Present in the region for more than 65 years, AXA in the Gulf offers a wide range of insurance products and services for corporate, SME and individual customers. Our business is to protect people over the long term. We emphasis on designing reliable solutions to meet the needs of our customers, manage risks in a professional way, treat our partners fairly, develop a work environment built on strong values, relationship and trust We also believe that we have a role to play in protecting the environment, supporting the communities in which we operate, and more broadly in helping to create stronger and more sustainable societies. This is part of creating a sustainable, long-term business, and becoming the preferred company for our customers, employees, and other stakeholders. AXA Gulf has been awarded General Insurance Company of the Year for 2nd consecutive year and Health Insurance Company of the Year at the 2015 Middle East Insurance Industry Awards (MIIA), Insurer of the Year and Personal Lines insurer in 2016 at the MENA Insurance Awards and Best Motor Insurance Product by the Banker Middle East in both UAE & KSA. As part of AXA’s corporate responsibility and its commitment to building better understanding about the health risks faced by individuals and the society, the company achieved a new Guinness world record for the most blood cholesterol readings in 8 hours at a single venue. WHAT WE OFFER We are investing significantly in the Gulf region and we recognise the important role employees have in the success of our business. We offer excellent opportunities for motivated and talented candidates whether at entry level or at c-suite level. We value diversity and we encourage applicants of various backgrounds and nationalities to join our team.
Sales Executive (Female, Living In UAE) - THE-COOL-BOX Studio-Dubai
Dubai -Job details A prestigious address for professional photography and video production in Dubai -, THE-COOL-BOX Studio is now seeking a Sales Executive to raise its profile and business diversity in the market. The successful candidate will need an outgoing personality and a drive to succeed, also possessing strong oral and written communication skills as well as an ability to operate in a dynamic working environment and multi-task. Main duties and responsibilities will include selling photography and video packages and services to keep the production staff busy throughout the year. The mission is to drive sales and meet performance goals, while motivating project team members to consistently deliver results meeting the highest client expectations. Benefits include a training program and ongoing mentoring, medical insurance and a performance-based bonus scheme. Candidates with strong sales skills and previous outdoor sales experience only will be invited for job interview Minimum 2-3x years of UAE experience in a similar role below age of 35 graduate preferred Proficiency in English Able to meet Revenue Targets Valid UAE driving license preferred but not mandatory good understanding of selling and marketing techniques good knowledge of media industry especially photography Self-motivated with a results-driven approach Aptitude in delivering attractive presentations Highly presentable Can start immediately
Senior Associate (Employment) - Clyde & Co-Dubai
Dubai -Role Description – Senior Associate - Employment Department: Employment Location : Dubai - , UAE The role We are looking for a Senior Associate to join our busy Employment practice in Dubai - to focus on contentious and non-contentious matters. The ideal candidate will have a strong employment background, gained within a large-scale international or regional top tier firm. Key responsibilities Advising clients on compliance with local laws and regulations; Instructing and liaising with correspondent law firms across the region; Providing advice and support to clients on a full range of employment issues, including recruitment and sponsorship procedures, remuneration and benefits packages, grievance and disciplinary procedures and issues arising on the termination of employment; Supporting the corporate department with employment issues arising out of transactions, such as undertaking employment due diligence, drafting warranties and indemnities in agreements and the transfer of employees; Drafting and amending employment contracts, employee handbooks, policies and procedures and other employment-related documentation; Interacting directly with local and international clients from a wide range of sectors; Advising clients on employment disputes in the local courts and in the financial centres Advising clients on settlement of disputes and drafting settlement agreements. Advising clients on immigration matters; Contributing to the employment practice's know how and precedents system; Supporting a wide range of business development initiatives. Candidate requirements The ideal applicant will: Have worked extensively on employment-related matters. Regional experience would be an advantage; Have experience of working at a large-scale international or regional top tier law firm; Demonstrates an ability to interact confidently with clients and develop business pro-actively; Possesses a minimum of 6 years' PQE; Have attained a degree certificate(s) from a reputed institution, achieving a minimum grade of 2:1 or equivalent; Have a mature and flexible personality and is able to work well within a team; Be self-motivated and possesses a very pro-active attitude towards completing jobs and developing business; Has a genuine commitment to building a career with Clyde & Co in the Middle East. Description of the work group Clyde & Co is one of very few firms in the region that has a dedicated team of specialist employment and incentives lawyers advising on the varied issues facing businesses on a day to day basis. The team has native Arabic speakers and provides specialist advice within the ambit of a large full service international law firm. The firm’s specialist lawyers provide advice across all areas of contentious and non-contentious employment law, with a focus on providing focused commercially orientated advice and practical solutions. The firm advises clients across the Arabian Gulf Cooperation Council (AGCC), in various sectors including construction, technology, hospitality, retail and insurance, on compliance with employment and sponsorship regulations. In the UAE, the firm advises on regulations in the free zones, including DIFC Employment Law, as well as compliance with the Federal Labour Law and immigration regulations. Equally, advice is provided on applicable quotas and regulations for the employment of nationals in each of the AGCC member states, and employee arrangements, including international secondments or assignments. Clyde & Co advises local and foreign owned companies on the implementation and structure of executive and all-employee incentive arrangements as well as related employment, regulatory and corporate governance matters. Clyde & Co Overview Clyde & Co is a leading, sector-focused global law firm with 440 partners, 1800 lawyers, 2500 legal professionals, and 4000 staff in over 50 offices and associated offices worldwide. The firm specialises in the sectors that move, build and power our connected world and the insurance that underpins it, namely: transport, infrastructure, energy, trade & commodities and insurance. With a strong focus on developed and emerging markets, the firm has achieved compound average annual revenue growth of 15% over the last ten years, making it one of the fastest growing law firms in the world with ambitious plans for further growth. Clyde & Co in the Middle East Since opening our first office in Dubai - in 1989, Clyde & Co has today the largest presence and is one of the most experienced international law firms in the Middle East with over 50 partners and 400 staff, operating in Abu Dhabi and Dubai - in the UAE, Doha in Qatar, Muscat* in Oman and Riyadh in Saudi Arabia. We have accumulated nearly 30 years of deep market knowledge and experience in the sectors in which our clients operate, providing a full-service commercial offering with local specialists in commercial, corporate, dispute resolution, employment, intellectual property, international arbitration, finance & banking, insurance, projects & construction, real estate, regulatory & investigations, and technology. International and domestic clients engage us across the full spectrum of their corporate and commercial needs, including company structuring and governance, policy setting and licensing arrangements, employment and Emiratisation issues, funding, procurement, intellectual property (IP), technology and general commercial contracts. Working with industry leaders in the region endorses our reputation for providing expert practical guidance on how to get things done in what can be a challenging market to navigate.