Kuwait City - Objective: The job holder will be responsible for reviewing, auditing medical claims, evaluate pending claims, reconciliation & handling Pre-authorization requests with assuring excellent customer service. 1. Customers, Intermediaries and Health Care Providers - For resolving queries / issues, managing relationships, pre-authorizations and conveying information. 2. Coordinate with providers to make procedures more cost effective. Assist in managing Pre-authorization business to optimize cost efficiencies and subject to medical & policy eligibility. 3. Assist in implementation of medical claims processes, reconciliations protocols and to communicate & clarify to clients, providers & intermediaries. 4. Review medical claims and evaluate pending claims Skills University Qualifications or above Other certifications: Insurance qualification an added advantage Specialist knowledge: Strong Medical Knowledge or work with TPA Other Skills: Knowledge of MS Office Strong Analytica...
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