Medical Claims Processor - Reimbursement - AXA Gulf-Dubai
Dubai -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.
Part time SalesWoman on E-Commerce New Retail Selling - I SERENA TRADING L.L.-Dubai
Dubai -Part-time, CommissionWe create the 1st E-Commerce Sale System in UAE, which realizes "one phone, one click share", to help sales to sell and make money even without going outdoors, but have orders all over UAE, to help sales save energy and save time!This is a part-time or freelance vacancy, which allows you to work anytime;This is a platform, which allows ambitious employees to turn to be self-employed, guiding sales to own a large quantity of clients on the platform with rich UAE market experience and unlimited developing possibility.Don't be shy if you are only housewife or with low salary;Don't worry if you are fully occupied with current work;as long as you have passion, just apply!We require you to have: 1. UAE Residence Visa.2. at least 1 year experience in UAE.3. English speaking ability, able to communicate with others fluently.4. passion in selling, have patience to guide and explain to customers details of products, etc.If you interested, do not hesitate to apply!Skills1. Have passion and patience to talk with clients;2. Hard working and eagerly put the target and work on it.About UsI Serena Trading L.L.C, a multinational company of global clients-oriented. Our current market has already penetrated over 30 countries.At present, we elaborately launches 3 products. ①Wrinkle Removal Root Solution Eye Cream ②Anti-Blue Ray Moisturizing Toner ③Graphene Sanitary Napkin.We work on high quality products, with immediate and outstanding effect, healthy without any side effect. We work on creating brand new E- Commerce Sale System of high-efficiency and quickness. Only "one phone, one clieck share", all clients automatically turn to be sales. We try our best to make all sales save worry, save energy, save time and save money.Later, we will continually launch more high quality products into market.Our aim is to let all clients purchase securely and use happily, let all clients automatically become sales, let all clients realize health and wealth win-win.I SERENA is not networking or online shopping; We are a brand new E-Commerce Sale System.13 Big Reasons attract you to choose I Serena!1. No Need Registration Fee. 2. No Need Agency Fee. 3. No Need to Pay Stock. 4. No Need to Pay Delivery Fee. 5. No Need to order stock. 6. No Need to get stock. 7. No Need to store stock. 8. No Need to arrange stock. 9. No Need to delivery stock. 10. No Need You to Guarantee Quality. 11. You Only Need “One Phone, One Click of Share”, your 3 levels’ distributors are daily, monthly, and yearly all creating for you Constant income! 12. You Only Need to make yourselves younger, more pretty and healthier, 13. You Only Need 198 Dhs, Scan QR Code to purchase an I Serena essential product, only changing a brand and making you become a sale.From now on, you open a road of health and wealth win-win. Where can you find such good business? Only I Serena.Job Types: Part-time, CommissionSalary: AED1,000.00 to AED5,000.00 /monthExperience:UAE Working: 1 year (Required)
Investment Officer, Equity – Global Infrastructure Group - -Dubai
Dubai -Job #: req5715 Organization: IFC Sector: Investment Grade: GF Term Duration: 4 years 0 months Recruitment Type: Local Recruitment Location: Dubai -,United Arab Emirates Required Language(s): English Preferred Language(s): Closing Date: 2/10/2020 (MM/DD/YYYY) at 11:59pm UTC Description Do you want to build a career that is full of meaning and impact? The International Finance Corporation (IFC), a member of the World Bank Group, is the largest global development institution focused on the private sector in emerging markets. Working with more than 2,000 businesses worldwide, we use our capital, expertise, and influence to create markets and opportunities where they are needed most. Visit www.ifc.org. IFC has embarked on an ambitious new strategy to stimulate more investment activity, especially in Low Income Countries and Fragile and Conflict Affected States. This new strategy aims at creating our own opportunities for private investment in riskier markets by proactively working in these countries to create, deepen, and expand the markets themselves. Within IFC, support for the development and expansion of infrastructure solutions across a wide range of sectors is one of IFC’s key strategic priorities. The Global Infrastructure Department (CNG) works closely with IFC’s regional infrastructure teams to finance and provide technical guidance to companies in the energy, transport, telecoms & technology, municipal & environmental infrastructure and mining sectors from IFC’s own balance sheet and through mobilization of other capital. The Equity team (CNGES) within the Global Infrastructure Department operates in close collaboration with regional infrastructure teams and regional departments to (i) formulate IFC’s strategy for investing equity and mezzanine financing across the infrastructure sectors, (ii) engage in business development, (iii) execute transactions, and (iv) manage assets from origination until exit. IFC is seeking an Investment Officer for CNGES, to be based in Dubai -. The selected candidate will be responsible for providing equity expertise to IFC’s infrastructure equity & mezzanine business (hereinafter referred to broadly as equity) in the Europe, Middle East & Africa regions. This role requires strong and demonstrated technical skills in structuring, negotiating and executing equity transactions, asset management, as well as leadership skills. The Investment Officer will report to the EMEA Equity Lead, and will also have a major role in setting CNG’s equity strategy, day-to-day business operations, business growth and portfolio management. Roles and Responsibilities The role and responsibilities of the Investment Officer will include but will not be limited to: New Business Responsible for coordinating and providing substantive input to the development of equity investment themes and strategies, to target and grow IFC’s equity business based on its current equity portfolio, trends in countries and sectors, and IFC strategies (corporate, industry, and country), under the overall direction of Global Head of Equity - Infrastructure Participate in and lead equity business development activities in the region in line with investment themes Lead and/or provide expertise and guidance to teams executing equity and mezzanine investments Reinforce quality standards and set profitability targets for transactions and overall portfolio Asset Management Take leadership and responsibility for high value/complex equity investments, in particular exit strategy formulation in the region, working closely with the regional infrastructure leadership Ensure IFC value is brought to investee companies Provide expertise and guidance to teams managing smaller equity investments in the regional equity portfolio Support infrastructure management to devise and execute equity sales, ensuring consistency with portfolio strategy Support infrastructure management in ensuring that the right candidates are nominated as directors to the boards of IFC investee companies, and assess their performance Leadership and Knowledge Sharing Engage in mentoring and coaching of junior staff, and provide on-the-job learning opportunities, and ensure efficient and effective use of resources Ensure quality control of work products Support a comprehensive program for increasing the knowledge and learning of equity investments execution and asset management Disseminate CNG’s equity culture and lessons learnt Selection Criteria A Master's degree or equivalent professional qualification in finance or business and 8+ years relevant work experience Significant experience in sourcing, negotiating and executing equity & mezzanine transactions Strong network of contacts among infrastructure companies, private equity and institutional investors Excellent people management skills and openness to feedback Ability to develop innovative solutions and challenge the status quo to build the business Recognized as a team player, leader and strategic thinker and thought leader Strong written and verbal communications skills; Fluency in English essential, additional languages is a plus Ability to collaborate closely with World Bank, and other development finance institutions, commercial financial institutions, and institutional investors Ability to develop and manage relationships with C-Suite, board and shareholders of investee companies, and ability to represent IFC externally with government, media, and other stakeholders Ability to work in the matrix, deliver high quality work within deadlines and to meet team objectives Very sound business judgment, demonstrated ability to deliver results under stressful timelines and environment Strong equity “deal sense” based on demonstrated track record in executing, managing, and exiting equity investments. Willingness and ability to travel and work across time zones Poverty has no borders, neither does excellence. We succeed because of our differences and we continuously search for qualified individuals with diverse backgrounds from around the globe.