Officer Administration

Officer Administration Jobs in Dubai

About the job

For MedNet Oman.

• As a member of Munich Re the MedNet Oman is one of the leading managed care service organizations that caters to healthcare needs. We are currently looking for an Officer-Administration who will be Receiving and dispatching of claims and forwarding them for auditing and processing and monitoring the claims submission from providers and following up for submissions in coordination with Network department.

Your Job:

• Receive, Organize and Register Network Providers Claims to create initial records of received claims.
• Monitor Network Claims submission status in coordination with Network team.
• Screen and Highlight submission issues to providers on a detailed and efficient manner.
• Ensure that all claims received from different sources such as mail, paper, e-claims, regulatory portals are registered as a batch in the system including amount, count etc.
• All claims are scanned and uploaded in the system and notified to the Claims team on daily basis.
• Ensure timely delivery of the daily scanned claim targets.
• If any, manual rejections should be documented and sent to PICs and Providers such as rejection and deleted member tracker.
• Preparing and aligning the e-claim file submissions of providers as per the required format and data fields and upload into the core system.
• Generating claims summary reports that will be used by processors and other departments.
• Dispatch of claims to the PICs as per the agreed timeline and coordinate with them for any query or clarification.
• Provide the status of claims and batch numbers to providers.
• Ensure maintaining of update to date physical claims receiving and statement of account trackers.

Your profile:

• Excellent communication skills. (English)
• Health Insurance industry / Market knowledge would be an added advantage.
• Ability work under strict deadlines and handle stress.
• Computer Literate
• Advanced Knowledge on MS Office especially in MS Excel
• Quality focus and customer oriented
• Teamwork
• Speed/Time Management
• Preferable Omani National (Male)

Minimum Qualifications:

• Bachelor’s or Diploma degree in Business Management or related fields.

Minimum Experience:

• 1-2 years of experience.

*Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunity employer.

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