Claims Processing Agent

NextCare Urgent Care; Dubai; Hybrid; AED 50,000 - 80,000; Full time

Job summary

NextCare Urgent Care in Dubai is seeking a detail-oriented Claims Processing Agent to evaluate and process claims efficiently while upholding customer satisfaction and compliance with company policies.

The role requires a medical or related degree and 1–2 years in a customer-focused environment. Hybrid work, MS Office proficiency, and strong interpersonal skills are essential for success.

Qualifications

• Bachelor’s degree in medical, paramedical, finance, business administration, insurance, or a related field is preferred.
• 1-2 years’ experience in a customer-focused environment, ideally in clinical, paramedical, or insurance roles.
• Proficiency in MS Office.
• Customer-focused with strong interpersonal and accuracy skills.
• Team player with good work ethic.
• Physically fit to perform duties.
• Ability to work under pressure and meet deadlines.
• Legally permitted to work in the country of operation.
• Hybrid working option available as per business requirements.
• AI readiness and ability to work with AI, data analytics and cloud-based tools.

Responsibilities

• Operate within company service standards to ensure customer satisfaction and retention.
• Review and handle claims according to standard procedures.
• Support team to meet SLA and deliver exceptional customer service.
• Provide accurate and professional responses to client inquiries and coordinate with other departments as needed.
• Engage in medical training to broaden understanding of terminology and claims processing skills.
• Be adaptable to multi-tasking across claims handling tasks.
• Aim to achieve high quality targets and performance standards.
• Support Team Leader to drive engagement within the team.
• Perform additional ad hoc duties as required.

Skills

Customer focus

Interpersonal skills

Accuracy

Team player

Under pressure

Education

Bachelor’s degree in Medical field or related

Tools

MS Office

Job description

We are looking for a detail-oriented and motivated Claims Processing Agent to join our team. In this role, you'll be responsible for evaluating and processing claims efficiently while insuring high standards of customer satisfaction and compliance with company policies.

Key Responsibilities

• Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention.
• Review and handle claims according to the established standard procedure.
• Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
• Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
• Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
• Ensures adaptability in various claims handling work-related tasks to be able to facilitate a multi-tasking role.
• Ensures that high quality targets (standard of work performance) are achieved at all times.
• Support the Team Leader to drive engagement within the Team
• Other Ad hoc duties as required

Job Requirements

• Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
• 1-2 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Proficiency in MS Office
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Team player
• Physically fit to carry out duties.
• Ability to demonstrate sounds work ethics.
• Ability to work under pressure and to meet tight deadlines and service standards
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.
• AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.