Analyst - Insurance Operations
International Catalyst Services, LLC
Dubai, Dubai, AE
منذ 5 يوم
source : WHATJOBS

Handling member queries related to benefits, insurer app / portals

Handling reimbursement Claim queries and pre-approvals

Contentious claims management

Monitoring claims TAT’s

Dedicated claims support, query resolution and concierge service for the Sr Management this is very important Family, CEOs, Directors and their dependents etc.

Managing ex gratia claims settlement

Case management (Home country or high cost claims support)

Working with 20+ entities HR on the collation of renewal data

Activation of medical cards and policy

Medical insurance certificates for Travel or Visa etc. on request basis

Issuance of member handbooks at renewal

Ensure accuracy on policy documentation.

Preparing the communication roll out to be circulated to all members

Adhoc projects like Covid, PCR, Vaccinations etc

Individual treatment support like negotiating tariff with hospitals / clinics for family members of employees who are not under insurance

Adhoc Projects like Covid, Regional support whenever needed, market engagement like key Seminars / webinars / Awards nominations and the like

Operations, Addition Deletion and Invoicing :

Policy Administration :

Preparing monthly reports and invoices

Monthly census reconciliation between Broker Portal and insurer platform to ensure consistency of data

Reconciliation of the statement of account on a quarterly basis

Account Management :

Review the insurer service level dashboards every quarter & report the same

Monthly Raw claims data

Quarterly claims analytics and claims control solutions

Drive Teleconsultation solutions, chronic management schemes and any other claims analytics based solutions for cost containment

Relationship management with Senior executives, PRO, Key officers of some top hospitals (like the Head doctors, client / marketing directors)

Requirements :

3-5 years of experience

Academic Qualifications : 4 years Bachelor’s Degree, preferably BS in Nursing,

Professional Experience : Client / Customer Servicing, Group Medical & Life Operations

Industry Experience : Group Life & Medical Insurance Background in UAE is a must

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