Job Responsibilities:
• Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements
• Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization.
• Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.
• Responsible for filing and tracking insurance claims and informing employees of their claims status
• Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
• Process insurance and disability claims in a timely manner
• Prepares insurance forms and associated correspondences
• Entertains employees’ queries regarding policy coverage
• Liaise with employees regarding their eligibility and entitlements
• Maintains strict confidentiality related to medical records and other data
• Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers
• Coordinating with insurance companies for obtaining information on new policies and their coverage
• To network with insurance companies to obtain accreditation as a provide
• To advice the management on insurance matters.
• To coordinate and co-operate with colleagues and other related departments for smooth running of operations.
Requirements
• Candidates must have significant Qatar experience
• At least 4 to 5 years of experience in Insurance or Claims
• University Degree Holder
• Familiar with standard concepts, practices, and procedures in Medical Insurance
• Excellent written and verbal communication skills
• Excellent level of spoken English
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