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Medical Claims Executive

Ultiwise Consult-Dubai
Job Description:

DubaiJob Description: »˜Evaluates and processes claims in accordance with insurance policy terms and conditions, company policies and procedures according to productivity and quality standards. »˜Ensures that targets are met for department Turnaround time, Quality and Productivity. »˜Identify and report back any type of claims observation or issues that may affect the process. »˜Collect and analyze claims data to identify and resolve errors, delayed claims, and processing issues. Providing recommendations to take steps to improve the claims processing quality standards and productivity. »˜Analyze reports from the administrative software for provider and member utilization trends and identification of areas requiring further management. »˜Support the Team leader / Manager in implementation of quality assurance programs in order to maintain standards of quality and minimize fraudulent cases. »˜Handling medical related call queries. »˜Maintain confidentiality with regard to the information being processed, stored or accessed. »˜Completes other projects and duties as assigned. Skills and qualification requirements: »˜Should be willing be to work shifts (morning, evening and night shifts) »˜Must be an MBBS Graduate »˜Candidates able to start immediately preferred »˜2 years minimum clinical experience