Analyst - Insurance Operations

؜ - ؜Dubai ؜ -

Job details


  • 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

Job Summary

  • Advertiser: Marsh & McLennan Companies
  • Announcement date: 07/05/2022
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Job location: Dubai
  • Salary: -
  • Phone number: -

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