Medical Claims Executive – Fresh Graduate (Emirati)

Al-Futtaim; Dubai; Presencial; AED 84 000 - 132 000; Tempo integral

Resumo da oferta

Orient Insurance PJSC, part of Al-Futtaim Group, in Dubai, seeks a motivated Medical Claims Executive (Emiratization) to review and process medical claims in line with policies and regulatory requirements.

Fresh graduates from medical/healthcare fields are encouraged to apply. The role offers a long-term career path in the insurance sector, with exposure to claims management systems and interactions with hospitals and healthcare providers.

Qualificações

• Emiratization with Family Book (Emirati) – Mandatory.
• Bachelor's degree in MBBS, Pharmacy, Medical Laboratory Sciences, Nursing, Biomedical Sciences or other healthcare-related discipline.
• Fresh graduates encouraged to apply; internship or healthcare-related experience advantageous but not mandatory.
• Strong interest in pursuing a career within the insurance industry.

Responsabilidades

• Review and process medical insurance claims accurately and to service standards.
• Verify claim documentation, medical reports, treatment records, and supporting documents.
• Assess claims eligibility based on policy coverage, exclusions, and benefits.
• Coordinate with healthcare providers, hospitals, clinics and internal stakeholders to obtain information.
• Ensure compliance with procedures, medical protocols, and regulatory requirements.
• Identify discrepancies and escalate complex cases for further review.
• Maintain accurate records and updates within the claims management system.
• Support customer and provider inquiries related to claim status and documentation requirements.
• Contribute to continuous improvement initiatives to enhance claims efficiency and customer experience.

Conhecimentos

Medical terminology

Analytical skills

Communication skills

Attention to detail

Time management

Microsoft Office

Teamwork

Formação académica

MBBS (Medicine)

Pharmacy

Medical Laboratory Sciences

Nursing

Biomedical Sciences

Other healthcare-related discipline

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Orient Insurance PJSC, part of Al-Futtaim Group, in Dubai, seeks a motivated Medical Claims Executive (Emiratization) to review and process medical claims in line with policies and regulatory requirements.

Fresh graduates from medical/healthcare fields are encouraged to apply. The role offers a long-term career path in the insurance sector, with exposure to claims management systems and interactions with hospitals and healthcare providers.