Network Auditor (Medical Background) - -Dubai
Dubai -Description: Position Summary Conduct provider audits of medical records and perform all related activities. Contribute to developing and maintaining effective and efficient mechanisms to control potential leakage. Record findings and issues and maintain accurate logs in a timely manner. Fundamental Responsibilities & Requirements Travel to providers and conducting onsite medical record audits. Collaborate with regional network audits on training, process, automation, enhancements and quality improvements. Review and analyze of cases within audit criteria. Plan, organize and schedule audit appointments and visits to providers. Collect information and documents supporting audit findings. Prepare and store case files in a safe, secure location as per Aetna policy. Communicate with claims team / vendors on rejection and monitor outcome. Give feedback for issues/concerns. Coordinate with provider and Claims team on audit rejections and special negotiated discounts for large amount IP case. Oversee claim reconciliation for all audited cases. Prepare reports and cost savings analyses in a timely manner for various audiences (management etc.)business reporting. Work with management to draft, clarify and recommend changes to policies which impact network management. Support projects, cross regional coordination and Ad-hoc tasks as assigned. Identify and share market information on opportunities and threats to Aetna Network. Background/Experience Desired Experience in a Clinical or Medical Environment development. Experience in healthcare industry and strong implementation experience desirable. Health insurance experience in claims area (preferably with approvals). Billing experience in a medical provider. Education and Certification Requirements Clinical qualification like doctor or nurse preferred. Master Degree preferred—preferably in Business, Finance, Engineering, Supply Chain Management and/or related field. Fluent in English language with good communication skills. 63087 Potential Telework Position: No
Technical Support Advisor - Al-Futtaim-Dubai
Dubai -No two days are the same at Al-Futtaim, no matter what role you have. Our work is driven by the desire to make a difference and to have a meaningful impact with the goal of enriching everyday lives. Take our engaging and supportive work environment and couple it with a company culture that recognises and rewards quality performance, and what do you get? The chance to push the limits every single day. As a humble family business that started on the banks of the Dubai - Creek in the 1930s, Al-Futtaim has expanded to a presence in 31 countries, a portfolio of over 200 companies, and 42,000 employees. You’ll find us in industries ranging from automotive and retail, to finance and real estate, and connecting people with international names like Lexus, Ikea, Robinsons, and Adidas. Our team is proudly multicultural and multinational because that kind of diverse representation gives us the global mindset to grow and impact the people, markets, and trends around us. Come join us to live well, work better, and be the best. Job Description: To survey vehicles received with damages along with suppliers and review/approve quotes received. To prepare Accidents/Damage Job Orders for all repairs authorized by the Maintenance department. To manage the Accidents/Damage Repairs of the rental and lease vehicles in Dubai - ensuring most cost-effective method of repairs. To record and advice management of poor service levels given suppliers that is detrimental to the level service Hertz provide to its customers. To ensure that the repairs are done according to the expectations of customer at first time (F1) itself. To reduce the repeat repairs on the vehicles by strictly following the processes thereby enhancing the customer service values. Key Responsibilities: To monitor and control vehicle down time of the fleet within the maintenance cycle ensuring this is kept to a minimum reducing the cost of replacement vehicles while ensuring that vendors are meeting agreed TAT for Smart /Minor/Major Repairs To ensure that all estimates received are reviewed for accuracy and are negotiated prior to approving repairs. Ensure that the queries of the fellow departments are replied at the earliest in order to inform them for proactively providing update/feedback to the customers. To ensure that Accident/Damage vehicles in the Maintenance process are tracked on a daily basis and ETA for vehicle delivery is shared through daily report of WIP vehicles. To reduce the repeat repairs on the vehicles by strictly following the processes thereby enhancing the customer service values. To ensure Work orders are issued to Vendors in a timely manner for jobs done and customer chargebacks are done in a timely manner as per agreed SLA ensuring that quality supporting documents are saved Online for record and communication by the invoicing team. To ensure that documents received for damage repairs i.e. Police Reports/Damage forms , Driving License are validated for completion and accuracy prior to submission for Insurance claims. Qualifications, Experience & Skills: Work requires good verbal communication and interpersonal skills. Ability to communicate and interact at all levels. Individual should be very good at negotiation and conflict management. Graduate/Diploma holder in Automobile Engineering with minimum of 2 years’ experience in body work in Automotive Industry. Minimum Experience: 2 years’ experience in accident workshop/Vehicle Insurance industry. Job-Specific Skills: Good communication skills, negotiation skills, planning and organization. Customer relations skills, problem solving skills and team building skills. Good knowledge of vehicle parts and best industry practice reference damage repairs. Behavioral Competencies: Relationship Building Good communication and interpersonal skills. Team Building. Confidence in own decision making. Planning, organising. Target oriented and drive to exceed demanding challenges. We’re here to provide excellent service but a little help from you can ensure a five-star candidate experience from start to finish. Before you click “apply”: Please read the job description carefully to ensure you can confidently demonstrate why this opportunity is right for you and take the time to put together a well-crafted and personalised CV to further boost your visibility. Our global Talent Acquisition team members are all assigned to specific businesses to ensure that we make the best matches between talent and opportunities. We not only consider the requisite compatibility of skills and behaviours, but also how candidates align with our Values of Respect, Integrity, Collaboration, and Excellence. As part of our candidate experience promise, we also want to make ourselves available to you throughout the application process. We make every effort to review and respond to every application.
Legal Counsel - AIG-Dubai
Dubai -Functional Area: LG - Legal, Regulatory & Gov't Affairs Estimated Travel Percentage (%): No Travel Relocation Provided: No American Home Assurance Company MENA Legal Counsel Role Overview The candidate will be a qualified insurance lawyer responsible for providing legal advice, guidance and support to AIG operations in the Middle East and North Africa (with focus on Kuwait, Lebanon, Qatar, UAE (DIFC and Onshore) to ensure that the AIG Group’s exposure to legal risk is managed and the execution of transactions, Group business and operational strategies and initiatives is facilitated. Note: Applicant must be a fluent Arabic speaker and drafter Key Duties & Responsibilities To be considered to be a trusted adviser to the business by promptly providing commercially sensitive, pragmatic and practical high-quality legal support and advice in a cost-effective manner to MENA operations. To help to co-ordinate and manage the approach to legal risk in MENA operations to ensure that the interests of the Group are adequately protected. To provide support and guidance to MENA operations and the wider legal function with regard to legal risks arising in candidate’s area of expertise. To advise MENA operations and the wider legal function on the impact of regulatory and legislative developments and ensuring that any such developments are adequately reflected in transaction documentation and businesses processes for MENA operation generally. To be proactive in the provision of legal support and in advising MENA operation promptly of material legal developments and their implications. To ensure that appropriate stakeholders are fully briefed on major issues arising in MENA operation and major legislative and regulatory changes in the candidate’s area of expertise. To maintain and develop positive and professional working relationships with all team members within the MENA legal team, MENA operation and the wider legal team. To participate effectively as part of the MENA legal team. Knowledge & Experience Qualified insurance&corporate lawyer with at least 5-6 years relevant post qualification experience with an insurance company; experience of working in both local and international insurance companies is a plus. Experience in regulatory interactions, in particular with the UAE Insurance Authority Experienced and confident practitioner able to understand and deal with a wide range of issues, from complex to administrative. Results oriented. Up-to-date knowledge of developments in own industry sector and familiarity and industry body terms and documents; Excellent communication skills essential Civil law jurisdiction qualification English law qualification/knowledge a plus Able to work in a team but able to manage own workload independently Motivated self-starter with experience of managing a demanding workload and balancing competing stakeholders required Fluent Arabic and English speaker and drafter It has been and will continue to be the policy of American International Group, Inc., its subsidiaries and affiliates to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. At AIG, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a wide variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.