Medical Claims Review Analysts - IP

Cigna; Abu Dhabi; On-site; AED 70,000 - 90,000; Full time

Job summary

The Cigna Group in Abu Dhabi is seeking a healthcare claims adjudication professional to assist the IP department in finalizing cases by medically scrutinizing prescribed treatments and services. The role supports pre-approvals and claims processing within NHS software systems according to regulatory guidance.

You will be guided by MoH, DHA and applicable authorities to ensure compliant processing of medical services, pre-authorizations, and claims adjudication across the organization.

Job description

Job description

To assist the IP department in finalizing cases by medically scrutinizing and justifying the prescribed treatment or service in addition to finalize assigned cases of claims and pre-authorization requests. He/She should maintain IP 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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.