Associate, Medical Claims

Posted By Gulf Recruitments
Oman Insurance Company - Deira, Dubai - Job Title Associate, Medical Claims Location Deira , AE Organization Name First Intimation Medical Claims Department Description Brief Description Detailed Description Job Requirements Additional Details The jobholder will be responsible for adjudicating and processing medical claims in HCS as per generally acceptated medical protocols and specific OIC protocols meeting the productivity and quality metrics. Accountabilities Adjudication and Processing of Claims in HCS · Adjudicate claims as per OIC claims protocol and generally accepted medical practises. Claims authority up to 5000 AED · Override system errors when necessary Processing of specified number of claims · Process all assigned claims by the line manager Process claims with high accuracy · Process claims with minimal errors to ensure that no overpayment or underpayment that results in un-necessary resubmission. Additional activities · Report any inter-departmental errors by documenting the cases ...

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