Medical Claims Officer (UAE Nationals)

Intelligent Solutions; Dubai; On-site; AED 120,000 - 200,000; Full time

Job summary

A leading healthcare staffing company in Dubai is seeking an experienced Medical Claims Officer to review and process medical claims accurately. The ideal candidate will have a strong attention to detail, analytical skills, and prior experience in medical claims adjudication. This role requires UAEN with a Family Book and the ability to join immediately or on short notice. Competitive compensation in a dynamic work environment is offered.

Qualifications

• UAEN with a Family Book is mandatory.
• Prior experience in medical claims processing or adjudication is an advantage.
• Ability to join immediately or on short notice is preferred.

Responsibilities

• Review, evaluate and process Inpatient and Outpatient medical claims with accuracy.
• Verify policy coverage limits and coding accuracy according to client guidelines.
• Ensure claims adjudication complies with established rules and standards.
• Coordinate with internal teams and healthcare providers for clarifications.
• Detect inconsistencies, errors or potential fraud and escalate appropriately.
• Meet required turnaround time and quality benchmarks.

Skills

Analytical skills

Attention to detail

Communication

Decision-making

Education

Educational background in Pharmacy, Healthcare, Medical Coding, Nursing or a related field

Job description

General Overview

We are supporting one of our healthcare clients in the UAE to hire a Medical Claims Officer with solid experience in reviewing and processing IP/OP medical claims. The ideal candidate will have a strong eye for detail, good analytical skills and an understanding of medical terminology coding and policy guidelines. This role is based at Dubai Silicon Oasis.

Key Responsibilities

• Review evaluate and process Inpatient (IP) and Outpatient (OP) medical claims with accuracy.
• Verify policy coverage limits coding accuracy and medical necessity in line with client guidelines.
• Ensure claims adjudication complies with established rules, standards and procedures.
• Coordinate with internal teams TPAs and healthcare providers to obtain clarifications or missing documents.
• Detect inconsistencies, errors or potential fraud and escalate appropriately.
• Meet required turnaround time (TAT) and quality benchmarks.

Key Requirements

• UAEN with a Family Book - Mandatory
• Educational background in Pharmacy, Healthcare, Medical Coding, Nursing or a related field.
• Prior experience in medical claims processing or adjudication is an advantage.
• Strong analytical, communication and decision‑making skills.
• Ability to join immediately or on short notice is preferred.