Nurse - Claims Officer - Insurance

Overview

Nurse - Claims Officer - Insurance vacancy in Dubai UAE

Responsibilities

• Validate information on clinical insurance claims from people seeking payment from their insurer.
• Extensively examine claims to ensure there are no missing or insufficient details.
• Maintain careful documents of insurance claims and act on lapsed situations.
• Record and keep insurance and claims information in a database system.
• Determine policy coverage and compute claim amounts.
• Process claim payments.
• Answer queries related to policy coverage criteria and standards.
• Adhere to government, state, and company policies and guidelines.
• Understand how to properly check and evaluate medical papers to authorize or reject payments.
• Communicate effectively with physicians' offices or insurance firms to resolve case issues.
• Carry out other clerical tasks as needed.