Claims Medical Doctor

at PONTA Group
Location Dubai, United Arab Emirates
Date Posted November 18, 2020
Category Doctor / Nurse / Paramedics / Hospital Technicians
Job Type Full-time

Description

Job Summary:     Looking for an experienced and talented Claims Medical Doctor in Dubai, United Arab Emirates (UAE).

 

Job Key Details:               

  • Manage all claims related enquiries
  • Monitor TAT for claims reimbursements
  • Review rejected claims to identify eligibility and completeness of claim file
  • Help in pre-approval of requests coordinating with healthcare providers and insurer to deliver timely
  • Discuss with the insurer to recover out of policy claims known as ex-gratia
  • Follow the relationship throughout the year and initiating visits to key clients on quarterly basis or whenever required
  • Determine covered medical insurance losses by studying provisions of policy or certificate.
  • Establish proof of loss by studying medical documentation
  • Assemble additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
  • Document medical claims actions by completing forms, reports, logs, and records

 

Job Qualifications and Experience

  • The ideal candidate for Claims Medical Doctor must have a MBBS
  • The jobholder should male and Arabic speaker
  • The suitable candidate should be a qualified doctor working in Claims and must have worked in any Insurance company
  • Should be a problem solver with excellent communication skills

 

Application Procedure:                                                                                

All qualified candidates are encouraged to upload their recently updated CVs

 

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