Claims Assessor

Bupa UK; Dubai; On-site; AED 120,000 - 200,000; Full time

Job summary

A leading health insurance provider in Dubai seeks a Claims Assessor to ensure high-quality service and manage claims accurately. The successful candidate will possess a medical degree and at least two years of experience in a claims role within the global health insurance sector. Responsibilities include providing excellent customer service, processing claims efficiently, and ensuring compliance with policies. This full-time position emphasizes strong communication and interpersonal skills.

Qualifications

• At least 2 years of experience in a claims role.
• Strong background in the global health insurance sector or relevant financial services.
• Ability to meet productivity and quality performance targets.

Responsibilities

• Provide excellent customer service for members.
• Manage and process claims with high accuracy.
• Ensure correct interpretation of policy and rules.
• Identify opportunities for process improvement.

Skills

Customer-focused mindset

Strong interpersonal skills

Claims assessment

Communication skills

Education

Medical degree

Job description

Job Title

Claims Assessor

Location

Dubai, UAE

Employment Type

Permanent

What You’ll Do

• To provide excellent customer service for our members.
• The job holder will need to make customer focused actions based on effective decision-making skills. This will also include excellent internal customer service, with continuous contribution given towards achieving individual, team and department goals and objectives. Inputting claims into the computer system with a high degree of accuracy.
• To action any claim related query in line with Bupa Global policy and style.
• To obtain all necessary information on claims for the purpose of complete processing, including liaison with internal departments, using the following methods: telephone or e-mail. This may also include gaining information to research further details required to assess a claim.
• Respond to all relevant incoming correspondence and queries from our internal departments. This will be as per the Claims department key performance indicators, which state turnaround time and quality standards.
• Ensure the correct interpretation of BUPA Internationals’ policy and rules, using the correct compatible combinations of codes for accurate processing of data, in accordance with our service standards and customer expectations.
• To contribute to the continuous development of the claims process by identifying opportunities for product development and process improvement.
• Suspend claims that require further investigation in order to resolve appropriately to ensure the correct continuation of processing within agreed timeframes and standards in suspend process.
• Logging claims on the system under correct members’ registrations, when needed.
• Recognise and challenge possible fraudulent information and proactively seek to clarify and resolve using best method of communication and initiative.
• To comply with and abide by the regulatory requirements at all times
• Work on shift basis according to business need.

What You’ll Bring

• Strong background in the global health insurance sector, or relevant transferable expertise gained from related financial services industries such as life insurance, retail banking, commercial banking, investment banking, or wealth management.
• Experience at least for 2 years in claims role is a must.
• A medical degree is mandatory.
• Demonstrated ability to meet and exceed productivity and quality performance targets.
• Customer-focused mindset with a commitment to delivering high‑quality service.
• Exceptional interpersonal, communication, and influencing skills, with a strong focus on achieving successful outcomes.
• Prior experience in delivering customer service.
• Proven background in healthcare-related claims assessment.

Time Type

Full time

Job Area

Call Centre

Locations

Dubai - OIC