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Medical Board Consultant / Medical Approval Officer / Doctor – AXA Insurance (Gulf) B.S. C. (c ) – Dubai Jobs


PURPOSE OF ROLE:
The main purpose of the role is to scrutinize in a professional manner medical claims (both reimbursement and direct billing) and to provide prior approval for medical treatment. In carrying out this role you will liaise and negotiate with the medical providers to ensure the validity of the treatment as per the insurance policy terms and conditions and to ensure that prices are in line with those agreed for the network providers or remain “reasonable and customary” for non Network providers.
TASK OVERVIEW (amongst others):
You will:
• Handle relations with the medical providers which includes discussing treatment with the patient’s attending Doctor, verifying cost for such treatment in relation to agreed rates, and visit the Medical Providers on a regular basis;

• Analyze prior-approval requests, negotiate the cases with the medial providers, approve the cases when agreement is reached and enter the claim into AXA Insurance E.C. IT system;
• Supervise In-patient claims (this supervision includes visits to the patients during their hospitalization);
• Assist Medical Claims Administrators in assessment of claims;
 

Job Details

Date Posted: 2017-01-11
Job Location: Dubai, United Arab Emirates
Job Role: Customer Service and Call Center
Company Industry: Insurance

Preferred Candidate

Career Level: Mid Career
Degree: Bachelor’s degree

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Some local news is curated - Original might have been posted at a different date/ time! Click the source link for details.

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