WARBA Insurance - Kuwait City - Role Title: Doctor (Roving / Approvals) Role purpose summary: Monitor the performance of Claims, Pre Authorization, Provider Reconciliation & Fraud detection and take corrective & preventive measures to meet the TAT and set standard. Key responsibilities and accountabilities: Assisting and monitoring & distributing the work between team members in the approval team. Monitor the performance of Claims, PreAuthorization, Roving & Fraud detection and take corrective & preventive measures to meet the TAT and set standard. Send savings report for Management Train the Paramedical/ Doctors how to do claims adjustments Reconciliation with Providers on a regular basis Replying the emails related to approvals/claims queries in addition to the questions received from insurance companies or from members HCC, Emergency and VIP approvals management Handling claim related Medical queries and clarify auditors inquiries. Coordination with the providers' medical ...
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