Medical Claims Specialist – International & High-Cost Review

NEXTCARE Claims Management LLC; Dubai; On-site; AED 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Medical Claims Officer to provide exceptional service in claims processing and management. This role involves evaluating claims, making decisions on complex cases, and coordinating with international providers. The ideal candidate will possess a Bachelor’s of Medicine and demonstrate strong organizational, interpersonal, and communication skills. Join a forward-thinking company that values diversity and inclusion, and be part of a team dedicated to excellence and innovation in the healthcare sector. Your contributions will play a vital role in enhancing client satisfaction and operational efficiency.

Qualifications

• Bachelor’s of Medicine (MBBS) required with medical practical experience.
• Fluency in MS Office and strong communication skills are essential.

Responsibilities

• Manage daily claims administration and evaluate claims for eligibility.
• Handle international preauthorization cases and improve service efficiency.

Skills

Organizational skills

Time management skills

Interpersonal skills

Communication skills

Problem-solving skills

Education

Bachelor’s of Medicine (MBBS)

Tools

MS Office (Excel, Word, Outlook, PowerPoint)

Job description

An established industry player is seeking a Medical Claims Officer to provide exceptional service in claims processing and management. This role involves evaluating claims, making decisions on complex cases, and coordinating with international providers. The ideal candidate will possess a Bachelor’s of Medicine and demonstrate strong organizational, interpersonal, and communication skills. Join a forward-thinking company that values diversity and inclusion, and be part of a team dedicated to excellence and innovation in the healthcare sector. Your contributions will play a vital role in enhancing client satisfaction and operational efficiency.