Medical Claims Specialist

Job Description:We are seeking a Claims Fraud Specialist to work with our Global Claims Function, responsible for the identification, investigation, and remediation of Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of Oman.This role involves representing the Global Claims Fraud Framework to our...

DB Claims Executive - Healthcare **Omani National**Who we areGIG Gulf is part of the Gulf Insurance Group (GIG), the #1 largest regional composite insurer in the Middle East and North Africa, with presence in 13 markets including the United Arab Emirates, Bahrain, Oman, Qatar, Saudi Arabia, Algeria, Egypt, Iraq, Jordan, Kuwait, Lebanon, and Turkey. GIG Group...

Job Title: Contract SpecialistAbout the Role:We are seeking a highly experienced Contract Specialist to join our team at Jobtrack Management Services. As a Contract Specialist, you will be responsible for reviewing and providing contractual advice on project claims and variations.Key Responsibilities:Draft amendments to agreements, settlement agreements,...

About Domo Ventures W.L.L. and the Role of a Specialist in Emergency MedicineJob DescriptionWe are seeking a highly skilled Specialist in Emergency Medicine to join our prestigious client's team at Domo Ventures W.L.L. in Oman.This is an exciting opportunity for a dedicated professional who can provide exceptional patient care, treatment, and recovery...

Our company Eureka (Pvt) Ltd is seeking a skilled Contract Specialist to join our team. As a key member of our team, you will play a crucial role in ensuring the success of our projects.We are looking for an individual with exceptional contract administration skills who can scrutinize Tender and Contract Commercial clauses, prepare Contract award documents,...

Role SummaryThis is an exciting opportunity to join our team as a Medical Claims Officer. The successful candidate will be responsible for adjudicating cases, reviewing claims, and collaborating with internal stakeholders to ensure seamless claim processing.Responsibilities and DutiesAdjudicate cases and authorize decisions within the stipulated turnaround...

About the RoleWe are seeking an experienced ENT specialist to join our team at Domo Ventures W.L.L. in Oman.The ideal candidate will have a Doctor of Medicine (MD) degree, completed an otolaryngology residency, and hold a valid and active medical license.Additionally, they should have membership or fellowship in organizations such as the Arab Board or Indian...

About the RoleWe are seeking a highly skilled Nephrologist to join our team at Domo Ventures W.L.L. as a Medical Director, specializing in Nephrology.This is an exceptional opportunity for a dedicated professional to make a meaningful impact in the field of renal medicine.The successful candidate will be responsible for conducting consultations, evaluating...

Consultant / Specialist Obstetrician and GynecologistWe are seeking a highly skilled Consultant / Specialist - Obstetrics and Gynecology to join our esteemed team at Domo Ventures W.L.L. in Muscat, Oman.About the RoleThis is an exceptional opportunity for a seasoned medical professional to lead high-quality patient care, provide expert consultations, and...

About the Role:This Compliance Auditor role is key to our global claims cost containment strategy. As a strong self-starter with excellent time management skills, you will be responsible for identifying and mitigating risks associated with Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of...

About the job Consultant / Specialist - PulmonologyLooking for a Consultant or Specialist for a client in Muscat, Oman. Interested applicants, kindly apply.Title: Consultant / Specialist - PulmonologyLocation: Muscat, OmanQualifications:Bachelor's degree in medicineDoctor of Medicine (MD) degree3 to 7 years of internship and clinical residency training,...

About the JobAt Domo Ventures W.L.L., we are seeking a highly skilled Urology Specialist to join our team. As a Consultant, you will be responsible for examining, diagnosing, and treating patient conditions and disorders of the genitourinary organs and tracts.Key Responsibilities:Examining patients and documenting their historiesOrdering, performing, and...

About the Role: We are seeking a highly skilled Biomedical Specialist to join our team at Aslam Dhoria Job Centre. The successful candidate will have a diploma in Medical Equipment Engineering or a degree in Medical Equipment, as well as 7 years of post-diploma experience. A minimum of 5 years of experience in a Hospital Biomedical Engineering Department or...

About the job Consultant / Specialist - NephrologyOur client is looking for a Nephrologist for their hospital in Muscat, Oman. Suitable applicants please apply online.Qualifications:Bachelor's degree in medicineDoctor of Medicine (MD) degree3 to 7 years of internship and clinical residency training, specializing in NephrologyFellowship in Nephrology or its...

About the PositionWe are seeking an expert ENT specialist to join our team at Domo Ventures W.L.L. in Oman.The successful candidate will have a strong background in otolaryngology, with a minimum of 5 years of experience in treating complex cases.The role involves treating patients with a range of conditions, including nosebleeds, tonsillectomies, and...

At Abroad Work, we are seeking a highly skilled Child Health Specialist to join our team. As a Pediatric Care Professional, you will be responsible for providing top-notch medical care to children from birth to twenty years old.The ideal candidate will have excellent communication skills and be able to work effectively with patients, parents, and community...

About NextcareAt Nextcare, we believe that everyone deserves access to high-quality healthcare and insurance services. We are dedicated to providing innovative solutions, expert care, and personalized support to our customers and clients.Key ResponsibilitiesAdjudicate cases and authorize decisions within the stipulated turnaround timeReview claims accurately...

Job DescriptionThe Dental Specialist will be responsible for reviewing patients' medical history, discussing their symptoms and concerns, and formulating suitable treatment plans based on diagnosed dental conditions. This role requires strong communication skills, attention to detail, and the ability to work collaboratively with other healthcare...

The Fraud Analyst role plays a key part in our global claims cost containment strategy. The ideal candidate will have an inquisitive mind and be focused on ensuring we prevent fraudulent activity/waste and abuse at all stages of the claim journey.The role requires the ability to multitask across numerous disciplines within the global claims department and is...

Domo Ventures W.L.L. is seeking a highly skilled Pulmonology Specialist to join our team. As a Pulmonology Specialist, you will be responsible for diagnosing and treating respiratory conditions, such as asthma, bronchitis, and emphysema.About the JobThis role involves using and interpreting various pulmonological exams and tests, including CT scans, chest...