Claims & Eligibility Analyst - Healthcare Insurance

UA8 NAS Administration Services LLC; Dubai; On-site; AED 60,000 - 85,000; Full time

Job summary

The Cigna Group in Dubai seeks an experienced healthcare administrator to support providers and payers by processing authorizations, claims adjudication, and pre-approvals in line with UAE regulations. You will work with NHS software systems and ensure compliance with MOH/DHA policies while maintaining timely processing and accurate documentation.

Ideal candidates have a medical or para-medical degree, 1-2 years in healthcare or insurance, strong English communication, and the ability to work

Qualifications

• University degree in any discipline of Medical/Para-medical specialization from a reputable university.
• Healthcare/Hospital experience for 1-2 years is required.
• 1-2 years of work experience in Insurance is preferable but not mandatory.
• Excellent oral and written communication skills.
• Must be computer literate.
• Excellent command of English; Arabic is a plus.
• Team player with customer service orientation.
• Ability to work under pressure and meet tight deadlines.

Responsibilities

• To issue online and verbal authorizations based upon member coverage and medical justification.
• Assist queries from providers and payers via phone or emails.
• Maintain files for authorizations and other reports.
• Assessing and processing claims in line with policy coverage and medical necessity.
• Be fully versed with medical insurance policies for various groups/beneficiaries.
• Assist in training colleagues and sharing knowledge.
• Assess eligibility within UAE (HAAD and DHA) guidelines and policy boundaries.
• Monitor and maintain claims processing and adjudicating cycle in NHS software.
• Establish strategies and parameters for solving queries within the team.
• Lead to ensure tasks are completed within the allocated time frame.
• Ensure communication and implementation of new formats, training and processing rules.
• Enter and process/adjudicate claims in NHS software per policy.
• Take initiatives to maximize team efficiency.
• Maintain qualitative and quantitative claims measures.
• Ensure adherence to predefined TATs for claims and pre-approvals.

Skills

Communication skills

Computer literacy

English language

Arabic language (plus)

Education

University degree in Medical/Para-medical

Tools

NHS software systems

Job description

The Cigna Group in Dubai seeks an experienced healthcare administrator to support providers and payers by processing authorizations, claims adjudication, and pre-approvals in line with UAE regulations. You will work with NHS software systems and ensure compliance with MOH/DHA policies while maintaining timely processing and accurate documentation.

Ideal candidates have a medical or para-medical degree, 1-2 years in healthcare or insurance, strong English communication, and the ability to work