Claims Reconciliation Medical officer Job Vacancy in UAE Dubai
Posted date [2024-09-25]
(ID: 31929)
Holders of the Guinness World Record for the "Largest Fireworks Display" ever recorded and "Largest Pyrotechnic Image", Fireworks by Grucci is a sixth-generation, family-owned and operated company. Known as "America's First Family of Fireworks," the Gruccis have transformed the night skies to the delight of millions across the globe since 1850. They are world-renowned for pyrotechnic artistry, scientific innovation and old-fashioned values. Their signature performances include the official celebration of the 200th Anniversary of the National Anthem “Star Spangled Spectacular,†in Baltimore, countless performances in and around Las Vegas, NV., seven consecutive U.S. Presidential Inaugurations; the Olympic Games in Beijing, Salt Lake City, Los Angeles and Lake Placid; commemorations such as the Centennial of the Statue of Liberty and star-studded extravaganzas including the grand opening of the Atlantis Dubai and the Palm Jumeirah Island in the United Arab Emirates. On New Year’s Eve 2013, a stunning performance displaying 479,651 fireworks made its debut above Dubai’s iconic skyline. The Gruccis achieved their “Largest Fireworks Display†title with this performance and smashed the Guinness Book of World Record’s preceding mark. Phil Grucci currently serves as President/CEO of Fireworks by Grucci, Inc. and Pyrotechnique by Grucci, Inc., the manufacturing entity of the Grucci group of companies.... |
Job Overview
The Senior Claims Reconciliation Medical Officer - will assess from a medical perspective the Provider claims and compare their usual reasonable customary standards versus medical practices and market law.
Key Responsibilities/ what you do
Manages routine daily claims adjudication work.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility and medical standards
Takes decisions on high cost and complicated cases based on standard operating procedures.
Investigate disputed rejected claims and respond with the appropriate justification
Attends calls and e-mails from insurance companies, clients, and providers.
Analyze reconciliation files and create summary with recommendation and action to reduce conflicting decisions with the Providers
Increases efficiency, minimizes errors and administration time.
Key Requirements / what you bring
Bachelor's of Medicine (MBBS).
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
Physically fit to carry out duties.
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
What we offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance
[please translate into your local language]
51021 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Join us. Let's care for tomorrow
The Senior Claims Reconciliation Medical Officer - will assess from a medical perspective the Provider claims and compare their usual reasonable customary standards versus medical practices and market law.
Key Responsibilities/ what you do
Manages routine daily claims adjudication work.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility and medical standards
Takes decisions on high cost and complicated cases based on standard operating procedures.
Investigate disputed rejected claims and respond with the appropriate justification
Attends calls and e-mails from insurance companies, clients, and providers.
Analyze reconciliation files and create summary with recommendation and action to reduce conflicting decisions with the Providers
Increases efficiency, minimizes errors and administration time.
Key Requirements / what you bring
Bachelor's of Medicine (MBBS).
Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
Physically fit to carry out duties.
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
What we offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance
[please translate into your local language]
51021 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Join us. Let's care for tomorrow
