Assistant Manager Medical Claims – UAE National I Dubai | Financial Services| Orient Insurance PJSC – Al Futtaim Group

Job Description:

We are seeking a motivated and detail-oriented Medical Claims Executive (UAE National) to join our Medical Claims team. This role is ideal for fresh graduates from medical and healthcare-related disciplines who are interested in building a long-term career within the insurance industry. The successful candidate will be responsible for reviewing, assessing, and processing medical claims in accordance with company policies, medical guidelines, and regulatory requirements.

What you will do 

• Review and process medical insurance claims accurately and within agreed service standards.
• Verify claim documentation, medical reports, treatment records, and supporting documents.
• Assess claims eligibility based on policy coverage, exclusions, and benefits.
• Coordinate with healthcare providers, hospitals, clinics, and internal stakeholders to obtain additional information when required.
• Ensure compliance with company procedures, medical protocols, and regulatory requirements.
• Identify discrepancies and escalate complex cases for further review.
• Maintain accurate records and updates within the claims management system.
• Support customer and provider inquiries related to claim status and documentation requirements.
• Contribute to continuous improvement initiatives aimed at enhancing claims efficiency and customer experience.

Job Details

Preferred Candidate

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