Claims Assessor

** Qatar local candidates with valid QID preferred **

• MBBS Degree.
• Min 3 to 5 years of experience.
• Sound medical knowledge and willing to work in non-clinic process.
• Minimum of 1-year experience in handling authorization.
• Should be willing to work in shifts as the department works on 24/7 function.
• To manage and process claims, ensuring documentation, verifying eligibility, obtaining necessary pre‑authorization and facilitate billing for the reimbursement process.
• Provide accurate and timely medical claims handling services in accordance with company policies, procedures, and standards.
• Assess, evaluate, and process claims in an effective and efficient manner to support the smooth operation of the Claims function.
• Maintain detailed and accurate records of all claim's assessments and decisions.
• Liaise with internal departments and external medical providers to gather necessary information for claim adjudication.
• Ensure compliance with regulatory requirements, company guidelines, and service level agreements (SLAs).
• Contribute to the continuous improvement of claims processes and systems.
• Be flexible in working across different types of Claims functions, as assigned by management.

Job Types: Full-time, Permanent

This advertiser has chosen not to accept applicants from your region.