Claims Assessor

About the role

Bupa Global, the international health insurance division of Bupa, is hiring a Claims Assessor in Dubai (OIC) on a full-time, permanent basis. The role provides excellent customer service to members, making customer-focused decisions and contributing to the goals of the Claims department.

Key responsibilities

• Input claims into the computer system with a high degree of accuracy and log them under the correct member registration.
• Action all claim-related queries in line with Bupa Global policy and style, gathering the information needed for complete processing by telephone or e-mail, including liaising with internal departments.
• Respond to incoming correspondence and queries from internal departments in line with the Claims department's turnaround time and quality standards.
• Interpret BUPA International's policy and rules correctly, using the right codes for accurate data processing.
• Suspend claims that need further investigation so they can be resolved within agreed timeframes and standards.
• Recognise and challenge possible fraudulent information and seek clarification proactively.
• Contribute to continuous improvement of the claims process by identifying opportunities for product development and process improvement.
• Work on a shift basis according to business need and comply with regulatory requirements at all times.

Required profile

• A medical degree is mandatory.
• At least 2 years of experience in a claims role.
• Proven background in healthcare-related claims assessment.
• Experience in customer service and the ability to meet and exceed productivity and quality targets.
• Strong interpersonal, communication and influencing skills.

Preferred: a strong background in the global health insurance sector, or transferable expertise from life insurance, retail banking, commercial banking, investment banking or wealth management.