Centre of Excellence Guardian

TASC Outsourcing; Dubai; On-site; AED 25,000 - 60,000; Full time

Job summary

A leading outsourcing company in Dubai is seeking a candidate to manage policy endorsements and ensure compliance with regulations. Candidates should have 2-3 years of experience in the related industry, excellent customer service skills, and knowledge of health insurance regulations. This role involves monitoring departmental processes and managing cost efficiencies.

Qualifications

• 2-3 years of experience in the related industry, preferably from a TPA.
• At least two years' experience in customer service or call center.
• Good knowledge of health insurance industries and regulations.

Responsibilities

• Monitor and maintain policy endorsements and update them.
• Ensure adherence to all departmental processes as defined.
• Manage cost efficiencies in the department's day-to-day workings.

Skills

Customer service skills

Knowledge of health insurance regulations

Medical coding knowledge (ICD, CPT)

Job description

Key Responsibilities

• To monitor and maintain policy endorsements and updating them correctly with communications to team.
• Access & update for the system requirements in line with Regulatory mandates
• Monitor & manage the adherence of all processes of department as defined in the DTP.
• Performs such that cost efficiencies are managed in the day-to-day working of the department

Requirements

• 2-3 years’ experience in the related industry and especially from a TPA.
• At least two years' experience in customer service/call center within the managed care, insurance, healthcare, or related call center environment.
• Good knowledge of health insurance industries and regulations.
• Basic knowledge of insurance terminology and medical coding e.g., ICD and CPT