Oman Insurance Company - Deira, Dubai - Job Title Executive-Preauthorization Location Deira , AE Organization Name To manage medical approval received from providers and PBM calls Department Description Brief Description Detailed Description System generated pre-authorization number is written on the pre-authorization request (paper) or in the email subject. · Counter check the decision of approval or denial by verifying the policy terms. · The case above AED 5000/- are discussed with senior officer, cases above AED 30,000 are discussed with Manager Preauthorization - Health and special cases above AED 75,000 are discussed with Head Preauthorization -Health. · Take the final decision after thorough assessment of the case and update the same in HCS. · Policy Terms and conditions are checked manually. · In some cases, the geographical limit is waived depending on cost effectiveness of the procedure requested after discussing with Manager Preauthorization - Health , Head - Preauthorization as per approving amou...
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