Claims Officer 

Job Description

Join MedNet, part of the Munich Re Group, and become part of a high-performance, globally connected team that values innovation, development, and cultural diversity. We are looking for talented UAE nationals eager to make a meaningful impact in the insurance and healthcare industries.

Why Join Us?

Annual Company Bonus: We offer competitive packages including an Annual Company Bonus, linked to our financial performance.

Attractive Benefits: We provide comprehensive life and health insurance coverage, designed to meet your unique needs at every stage of life.

Career Opportunities: As part of a leading multinational group, we offer exciting opportunities for regional and international mobility. You can explore roles across the MedNet Group and Munich Re, gaining exposure to different markets and expanding your career globally.

Flexible Working Arrangements: We understand the importance of work-life balance. With our flexible working policy, including the option to work 50% from home, you can integrate personal and professional commitments while delivering your best work.

Health & Wellbeing: Your health matters to us. We offer a range of wellness programs and initiatives to help you stay healthy and perform at your best.

Your Role:

· Manage daily claims administration work of review and processing of claims in line with scope of coverage and provider contracts.

· Audit claims data to identify any Fraud waste and abuse activities.

· Ensure accuracy and consistency of data.

· Forward approved claims once processed to PICs (Preferred Insurance Companies) for their acknowledgment or approval as per thresholds.

· Review and respond to claims audits of clients and internal audits.

· Answering provider, Insured members, and PICs queries accurately via phone calls and emails, regarding claims processing to provide clarifications where needed.

· Work in accordance with defined SOP’s.

· Work with high efficiency, minimizing errors and administration time to achieve monthly deadlines.

· Entering data accurately to provide accurate records to the company and PICs.

Your profile:

. Computer literate and excellent knowledge of MS office.

· Excellent interpersonal and communication skills.

· Working on split or straight shifts according to business needs.

· Very good command of English.

· Ability to communicate sensitively and effectively with internal and external stake holders having regard for the strict need for confidentiality.

· Advanced knowledge of Microsoft packages (Word, PowerPoint, and Excel) e-mail, electronic calendar, and the Internet.

· Ability to work well with all levels of internal management and staff, as well as outside clients.

Minimum Qualifications:

· Diploma In Nursing, Physiotherapy and Pharmaceutical Sciences.

· Coding certifications is an added advantage.

. Must be a UAE National and have a Family Book.

Minimum Experience:

· 2-3 years of experience in claims in the insurance industry or TPA/MSO Company.