Medical Claims Executive (UAE National) - Insurance
Orient Insurance PJSC · Dubai
وصف الوظيفة
About the role
Orient Insurance, part of the Al-Futtaim Group, is looking for a motivated, detail-oriented Medical Claims Executive (UAE National) to join its Medical Claims team in Dubai. The role suits fresh graduates from medical and healthcare fields who want a long-term career in insurance. You will review, assess and process medical claims according to company policies, medical guidelines and regulatory requirements.
Key responsibilities
- 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.
- Ensure compliance with company procedures, medical protocols and regulatory requirements.
- Identify discrepancies and escalate complex cases for further review.
- Maintain accurate records in the claims management system.
- Support customer and provider inquiries about claim status and documentation.
- Contribute to continuous improvement of claims efficiency and customer experience.
Required profile
- UAE National with Family Book (Emirati) - mandatory.
- Bachelor's degree in MBBS, pharmacy, medical laboratory sciences, nursing, biomedical sciences or another medical/healthcare discipline; fresh graduates are encouraged to apply.
- Previous internship or healthcare experience is an advantage but not mandatory.
- Strong interest in a career in the insurance industry.
Required skills
- Good understanding of medical terminology and healthcare concepts.
- Strong analytical and problem-solving skills.
- Excellent verbal and written communication, attention to detail and accuracy.
- Ability to work under pressure and manage high volumes of work.
- Proficiency in Microsoft Office applications.
- Ability to work independently and in a team.
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Orient Insurance PJSC
Dubai
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