Medical Claims Executive
Doo Group · Doubaï
وصف الوظيفة
About the role
Doo Wealth Insurance Brokers is looking for a Medical Claims Executive to manage medical insurance claims and provide end-to-end claims support to individual and corporate clients. The role coordinates with insurers, Third-Party Administrators (TPAs), healthcare providers and clients to ensure timely claim processing, effective resolution of claim issues and a high standard of customer service.
Key responsibilities
- Manage medical insurance claims, including reimbursement claims, follow-ups and settlement tracking.
- Coordinate with insurers, TPAs, healthcare providers and clients to resolve claim queries, delays and rejections.
- Review claim documentation and help reconsider declined or disputed claims.
- Maintain accurate claims records, monitor pending cases and prepare periodic reports.
- Provide excellent client service and ensure timely communication and resolution of claims issues.
- Organize and coordinate on-site wellness programs for SME and corporate clients, such as health screenings, medical check-ups and health awareness activities.
- Liaise with healthcare providers and wellness partners to plan and run corporate wellness initiatives.
- Work with the Sales and Account Management teams to improve client engagement, retention and value-added services.
- Ensure compliance with company procedures, confidentiality requirements and applicable UAE regulations.
Required profile
- 2-4 years of experience in medical insurance claims or medical insurance brokerage, preferably in the UAE.
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