Claims Officer - Registered Nurse - -Dubai
Dubai -Duties and responsibilities:To issue online and verbal authorizations based upon member coverage & medical justification.To assist queries from providers and payers via phone calls or e-mailsTo maintain files for authorizations and other reports.Assessing and processing claims in line with the policy coverage and medical necessity.Be fully versed with medical insurance policies for various groups / beneficiaries.Might be required to assist in training colleagues and sharing knowledge.Able to accurately assess eligibility within the UAE (HAAD and DHA) guidelines as well as policy boundaries.Monitoring and maintaining the claims processing and adjudicating cycle in operational software system as per the defined terms and policy of the organization.Entering and processing/ adjudicating claims in operational software system as per the terms and policy of the organization.Ensure adherence to the predefined TATs for claims and pre-approvalsAchieving required processing targets assigned by the team leader on daily, weekly and monthlyCandidate's Qualification:University degree in any discipline of Medical/Para-medical specialization from a reputable university.Healthcare/Hospital experience for 1-2 years, in departments such as Surgery, ICU or GP, is required.1 - 2 years of work experience in the Insurance industry is preferable but not mandatory.Excellent oral and written communication skills.Must be computer literate.Excellent command of the English language, Arabic is a definite plus.Should be a team player with an aptitude for customer service. Must be service oriented.Highly decisive with outstanding logic and reasoning skills.Candidate must be tactful and discrete while dealing with Providers or Payers; must be able to handle confidential information.Ability to work under pressure and meet tight deadlines and varying work-schedules.Job Type: Full-timeSalary: AED4,500.00 to AED5,000.00 /monthExperience:nursing: 1 year (Preferred)
hospital: 1 year (Preferred)
Insurance industry: 1 year (Preferred)
Education:Bachelor's (Preferred)
Language:Arabic (Preferred)
Telesales Executive - Data Direct FZ LLC-Dubai
Dubai -Contact potential or existing customers to inform them about a product or service using scripts Answer questions about products or the company Ask questions to understand customer requirements and close sales Direct prospects to the field sales team when needed Enter and update customer information in the database Take and process orders in an accurate manner Handle grievances to preserve the company’s reputation Go the “extra mile” to meet sales quota and facilitate future sales Keep records of calls and sales and note useful informatio Job Requirements Minimum 1 year of Call Center/Telecalling/Cold Calling experience required Skills : Basic understanding of Insurance products Proven experience as telesales representative or other sales/customer service role Proven track record of successfully meeting sales quota preferably over the phone Good knowledge of relevant computer programs (e.g. CRM software) and telephone systems Ability to learn about products and services and describe/explain them to prospects Excellent knowledge of English Excellent communication and interpersonal skills Cool-tempered and able to handle rejection Outstanding negotiation skills with the ability to resolve issues and address complaint
Finance Manager - Gallega Global Logistics LLC-Dubai
Dubai - JOB PURPOSE Leading the finance team for GAC Cars operations to supervise financial tasks to ensure effective and efficient use of the Company’s capital and resources. Ensuring the compliance with IFRS, IAS, GAAP, ISA, VAT and other regulations. Act as a business partner, decision maker.KEY RESPONSIBILITIESoPreparing on annually, Quarterly, Monthly & fortnightly basis Financial Statements, inventory reports, expense reports, trade & non-trade procurement reports, customer balance report, vendor balance report & any other ad-hoc report as and when required and submitting it to operations team and/or management.oArranging Monthly expense reports, Variance analysis and any other ad-hoc reports required by other departments.oSupervising accounts department of automotive group for timely closing of books of accounts and all monthly reports to finalize monthly financial statements & variance analysis of last period Vs. actual and reasoning.oAssisting operations team in daily operations to ensure achievement of company targets and at the same time ensuring compliance of all regulations.oEnsuring Delegation of Authority (DOA) is duly complied with across the company.oResponsible for advising efficient and effective mechanism and involving in Business Process Re-Engineering with-in the Division to streamline operation, flows of documentation and to avoid duplication of work.oReviewing all contracts/ agreement related from finance prospect and to identify, highlight and negotiate with other departments/ third parties over unfavorable terms.oCoordinating with other departments and work groups as needed & providing them technical accounting support and interpretation to support them in achieving their objectives.oUnderstand and follow completely the Finance & Accounts Policies and Procedures Manual.oMonitoring the GLs, Customers, Vendors, Assets, Stock, Related party reconciliations to ensure the accuracy and classification of transactions in line with IAS, IFRS.oPrepare GL/Cost Centers Reports from both SAP & NAV when required by the Direct Manager.oResponsible for reviewing accounting document in SAP & NAV related to all Bank Transfers, TTR Payments, Cheque Payments, Trade & Non-Trade invoices, Vendor/Supplier Clearing, GL’s Clearing, Rent & Insurance Prepayments, Provisions Journals, Salary Journals, Visa Related online services.oSupporting the IT team in identifying and resolving current software issues to ensure all reports are correct and all new changes in regulations are appropriately accounted for in the system.oEmpowering the team members and reporting line, in terms of delegation of duties and sharing the responsibilities.oMonthly VAT reporting and ensuring compliance of FTA regulations on day to day basis and guiding the team in managing unusual transactions.oAssisting VAT department at the time of FTA audit in gathering all required information for submitting it to FTA authorities.oAnswer queries and provide guidance to all finance and business teams on VAT matters as and when requiredoRegarding VAT audit, Preparation of ‘FTA Audit-Information Requirement’ Report and ensuring the original TAX Invoices are Received with correct details.oResponsible for sending the monthly reports of Input VAT Register & VAT GL’s from both SAP & NAV.oCoordination with the external audit companies for the statutory requirements and conducting the annual external audit in liaison with IFRS, IAS and applicable by laws and to ensure the accurate and timely execution of the assignments.oManaging all the Group Insurance policies incl. PAR, GIT, Marine, Public Liability etc. Ensuring the successful settlements of all Insurance claims by coordinating with internal departments, insurance companies / brokers and satisfying their requirements. Experience 3 to 6 years Education Qualified CPA/ CA/ CFA/ ACCA/ICMA from a recognized accounting body.