Medical Claims Manager Dubai UAE

Position: Medical Claims Manager

Date posted: 2023-05-04

Industry: other

Employment type: Full Time

Experience: 3 to 5 year

Qualification: Bachelor’s Degree holder

Salary: AED 5000 to 10000

Location: Dubai, United Arab Emirates

Company: Confidential

Description:

One of our client is looking for Medical Claims Manager

As a Medical Claims Manager, you will be responsible for managing the medical claims process, ensuring accurate and timely processing, and managing relationships with internal and external stakeholders.

RESPONSIBILITIES:

• Oversee the medical claims process, including reviewing and adjudicating claims, ensuring compliance with regulatory requirements and company policies, and managing claims staff and vendors
• Monitor and analyze claims data to identify trends, patterns, and opportunities for process improvements and cost savings
• Develop and maintain relationships with healthcare providers, insurance carriers, and other stakeholders to ensure optimal claims processing and resolution
• Develop and maintain claims processing procedures, workflows, and systems to ensure accuracy, efficiency, and compliance with regulatory requirements
• Collaborate with other departments, including finance, legal, and compliance, to ensure timely and accurate claims processing and resolution
• Provide exceptional customer service to policyholders and other stakeholders, responding to inquiries and concerns in a timely and professional manner
• Develop and deliver training programs for claims staff and other departments as needed
• Manage the claims budget, monitor expenses, and provide regular reporting and analysis to senior management
• Maintain knowledge of industry trends, market developments, and regulatory changes that impact medical claims management
• Participate in industry conferences and events to stay abreast of best practices and emerging trends in medical claims management

REQUIREMENTS:

• Bachelor’s degree in Healthcare Administration, Business, or a related field
• Minimum of 5 years of UAE experience in medical claims management
• Strong knowledge of medical claims procedures, workflows, and regulations
• Excellent analytical, communication, and problem-solving skills
• Demonstrated ability to work effectively in a team environment, collaborate with other departments, and build strong relationships with stakeholders
• Proficiency in Microsoft Office and claims management software programs
• Professional designations such as CPCU, ARM, or AU are a plus

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