Medical Claims Specialist - UAE National (Fresh Graduate)

Al Futtaim Private Company (LLC); Abu Dhabi; On-site; AED 67,000 - 100,000; Full time

Job summary

Al Futtaim Private Company (LLC) in Abu Dhabi invites applications for a Medical Claims Executive (UAE National). The role targets fresh graduates from medical/healthcare disciplines who want a long-term career in the insurance industry.

You will review, assess, and process medical claims following company policies, medical guidelines, and regulatory requirements. Your responsibilities include verifying documentation, assessing claim eligibility, coordinating with providers, and maintaining

Qualifications

• UAE National with Family Book (Emirati) – Mandatory
• Bachelor's degree in MBBS (Medicine), Pharmacy, Medical Laboratory Sciences, Nursing, Biomedical Sciences, or any other medical/healthcare-related discipline

Responsibilities

• Review and process medical insurance claims accurately and within agreed 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 additional information when required.
• Ensure compliance with company procedures, medical protocols, and regulatory requirements.
• Identify discrepancies and elevate 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 aimed at enhancing claims efficiency and customer experience

Skills

Medical terminology

Analytical skills

Communication skills

Attention to detail

Time management

Organizational skills

Customer-focused

MS Office

Teamwork

Education

MBBS (Medicine)

Pharmacy

Medical Laboratory Sciences

Nursing

Biomedical Sciences

Other medical/healthcare discipline

Tools

Microsoft Office

Job description

Al Futtaim Private Company (LLC) in Abu Dhabi invites applications for a Medical Claims Executive (UAE National). The role targets fresh graduates from medical/healthcare disciplines who want a long-term career in the insurance industry.

You will review, assess, and process medical claims following company policies, medical guidelines, and regulatory requirements. Your responsibilities include verifying documentation, assessing claim eligibility, coordinating with providers, and maintaining