Claims Associate Analyst

Cigna; Dubai; On-site; AED 112,000 - 156,000; Full time

Job summary

NAS Neuron Health Services LLC in the UAE seeks a dedicated insurance administrator to issue authorizations, handle provider/payer inquiries, and manage claims processing. The role requires aMedical/Para-medical degree, 1–2 years in healthcare and insurance, strong English, and computer literacy. Arabic a plus.

Flexibility and discretion are essential. The incumbent will work within NHS software workflows, ensuring timely, accurate processing and adherence to regulations.

Qualifications

• University degree in Medical/Para-medical specialization from a reputable university.
• Healthcare/hospital experience 1–2 years in Surgery, ICU or GP.
• 1–2 years in Insurance industry preferable but not mandatory.
• Excellent oral and written communication skills.
• Must be computer literate.
• Excellent command of English; Arabic is a definite plus.
• Team player with customer service aptitude.
• Service oriented; highly decisive with logic and reasoning.
• Tactful and discreet with Providers or Payers; handle confidential information.
• Ability to work under pressure and meet tight deadlines and varying schedules.

Responsibilities

• To issue online and verbal authorizations based on member coverage and medical justification.
• Assist queries from providers and payers via phone or email.
• Maintain files for authorizations and other reports.
• Assess and process claims per policy coverage and medical necessity.
• Be versed with medical insurance policies for various groups/beneficiaries.
• Possibly train colleagues and share knowledge.
• Assess eligibility within UAE HAAD and DHA guidelines and policy boundaries.
• Monitor and maintain claims processing and adjudication cycle in NHS software.
• Establish strategies and parameters to solve queries within the team.
• Lead role to ensure tasks are completed within deadlines.
• Communicate and implement new formats, training, and processing rules.
• Enter and process adjudicating claims in NHS system.

Skills

Communication skills

Computer literacy

English proficiency

Arabic language (plus)

Team player

Customer service

Decisive with logic

Discretion with confidential info

Education

Medical/para-medical degree

Tools

NHS software systems

Job description

JOB PURPOSE

The Jobholder serves providers and insurance companies by determining requirements answering inquiries resolving problems fulfilling requests and maintaining database He She should provide accurate and relevant medical coverage details maintain pre-approvals and claims processing and adjudication cycle within NHS software systems as per the defined terms and policies of the organization He She will be guided by the regulations laid down by the regulatory authorities such as MOH DHA or others

RESPONSIBILITIES AND DUTIES

• To issue online and verbal authorizations based upon member coverage amp medical justification
• To assist queries from providers and payers via phone calls or e-mails
• To maintain files for authorizations and other reports
• Assessing and processing claims in line with the policy coverage and medical necessity
• Be fully versed with medical insurance policies for various groups beneficiaries
• Might be required to assist in training colleagues and sharing knowledge
• Able to accurately assess eligibility within the UAE HAAD and DHA guidelines as well as policy boundaries
• Monitoring and maintaining the claims processing and adjudicating cycle in NHS operational software system as per the defined terms and policy of the organization
• Establishing strategies and implementing effective parameters for solving all possible queries within the team
• Taking a lead role in assuring that the assigned tasks to the team are completed within the allocated time frame
• Ensures the proper communication and implementation of new formats training and processing rules
• Entering and processing adjudicating claims in NHS operational software system as per the terms and policy of the organization
• Taking initiatives to maximize team efficiency
• Maintaining both qualitative and quantitative claims measures
• Ensure adherence to the predefined TATs for claims and pre-approvals
• Monitor the qualitative and quantitative measures for claims amp pre-approvals
• Ensure compliance to any changes in terms of system parameters or process

Statements in this Job Description are intended to reflect in general the duties and responsibilities of the position but they are not to be interpreted as totally inclusive

NAS Neuron Heath Services LLC is an equal opportunity employer

KNOWLEDGE, SKILLS AND EXPERIENCE

• University degree in any discipline of Medical Para-medical specialization from a reputable university
• Healthcare Hospital experience for 1-2 years in departments such as Surgery ICU or GP is required
• 1 - 2 years of work experience in the Insurance industry is preferable but not mandatory
• Excellent oral and written communication skills
• Must be computer literate
• Excellent command of the English language
• Arabic is a definite plus
• Should be a team player with an aptitude for customer service
• Must be service oriented
• Highly decisive with outstanding logic and reasoning skills
• Candidate must be tactful and discrete while dealing with Providers or Payers
• must be able to handle confidential information
• Ability to work under pressure and meet tight deadlines and varying work-schedules

COMMUNICATIONS AND WORKING RELATIONSHIPS

The job holder interacts with all Departments within NNHS and other service providers He She must ensure seamless communication between all departments for the smooth operations and to achieve the organizational objective He She must be able to foster strong internal amp external communication standards

OPERATING ENVIRONMENT

He she works in an air-conditioned environment and spends most of the day at desk The Jobholder s working hours are flexible as per weekly schedule within the boundaries of the UAE labor law The job holder is not exposed to any obvious hazards

University degree in any discipline of Medical/Para-medical specialization from a reputable university. Healthcare/Hospital experience for 1-2 years, in departments such as Surgery, ICU or GP, is required. 1 - 2 years of work experience in the Insurance industry is preferable but not mandatory. Excellent oral and written communication skills. Must be computer literate. Excellent command of the English language, Arabic is a definite plus. Should be a team player with an aptitude for customer service. Must be service oriented. Highly decisive with outstanding logic and reasoning skills. Candidate must be tactful and discrete while dealing with Providers or Payers; must be able to handle confidential information. Ability to work under pressure and meet tight deadlines and varying work-schedules.