Claims Senior Retropective Associate
Nextcare
وصف الوظيفة
About the role
We're looking for a detail‑oriented and analytical Claims Senior Retroactive Agent to join our team. The role is responsible for reviewing and reconciling claims data, identifying discrepancies, supporting financial accuracy, and working closely with internal teams and health‑care providers to resolve claims‑related issues.
Key responsibilities
- Review and analyze claims to ensure accuracy and completeness.
- Process claims adjustments and corrections as necessary.
- Reconcile claims data with financial records and systems.
- Identify and investigate discrepancies in claims transactions.
- Analyze claims data to identify trends and patterns.
- Prepare reports and presentations on claims performance and reconciliation outcomes.
- Utilize data analytics tools to improve the efficiency of the claims reconciliation process.
- Assist in internal and external audits related to claims and reconciliation.
- Maintain accurate documentation for audit purposes.
- Collaborate with finance, processors, and customer service departments to resolve claims issues.
Required profile
- Bachelor's degree in a medical, finance, business administration, insurance or related field (preferred).
- Minimum 2‑3 years of experience in claims reconciliation, financial analysis, or a similar role.
- Strong analytical and problem‑solving abilities.
- Excellent attention to detail and accuracy.
- Strong organizational and time‑management skills.
- Ability to work independently and as part of a team.
- Excellent written and verbal communication skills.
- Legally permitted to work in the United Arab Emirates.
Required skills
- Microsoft Excel
- Data analytics tools
- Claims processing systems and software
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Nextcare
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