Medical Claims Specialist

Job DescriptionWe are seeking a highly skilled Medical Claims Officer to join our team at Nextcare. As a Medical Claims Officer, you will be responsible for adjudicating medical claims and authorizing decisions within the stipulated turnaround time. Your role will involve performing complete file reviews, requesting medical documentation, and reviewing DRG...

About the RoleThis is an exciting opportunity for a motivated and detail-oriented Clinical Reviewer to join our team at Nextcare. As a Clinical Reviewer, you will be responsible for reviewing medical claims, assessing patient information, and making informed decisions regarding claim authorization.Key Accountabilities:Review medical claims and assess patient...

GIG Gulf is committed to delivering exceptional customer service and maintaining high-quality claims processing.We require an experienced DB Claims Executive to join our Direct Billing Claims Department, responsible for ensuring timely and accurate communication with providers and other departments.The ideal candidate will possess excellent communication...

GIG Gulf is a leading regional composite insurer in the Middle East and North Africa, with presence in 13 markets.We are seeking an experienced DB Claims Executive to join our team, responsible for contributing to the smooth and efficient processing of claims.The ideal candidate will have excellent communication skills, both written and verbal, and possess a...

Key responsibilities/What you do:Precertification team is functional on 24/7 basis. Therefore, the Medical Officer will be working on flexible shift basis as per the schedule provided by the Team Leader.Adjudicates Cases, authorizes decision within the stipulated turnaround time & with the highest quality standards in view with the policy terms and...

About the JobThis role is 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.You will represent the Global Claims Fraud Framework to our Colleagues, Customers, and our Network of Health Service Providers.Key...

We are looking for a skilled Claim Management Specialist to join our team at Petroleum Development Oman.About the CompanyPetroleum Development Oman is the leading exploration and production company in the Sultanate of Oman, delivering the majority of the country's crude oil production and natural gas supply.Job SummaryThe Claim Management Specialist will be...

Job DescriptionAbout the CompanyPetroleum Development Oman is the leading exploration and production company in the Sultanate of Oman. The Company delivers the majority of the country's crude oil production and natural gas supply.Purpose of the JobClaim Management Specialist within the Integrated Supply Chain plays a pivotal role in ensuring the efficient...

We are GIG Gulf, a 'A' rated regional insurer with a top 5 position in each of our markets.Our Direct Billing Claims Department requires an experienced DB Claims Executive to join their team, ensuring the smooth and efficient processing of claims.The successful candidate will possess excellent communication skills, both written and verbal, and hold a medical...

Petroleum Development Oman is a leading exploration and production company in the Sultanate of Oman.About the RoleThe Claim Management Specialist plays a pivotal role in ensuring the efficient handling and resolution of claims related to supply chain operations.Key ResponsibilitiesManagement of new and ongoing contractor claims.Collaboration with internal...

Petroleum Development Oman is seeking an experienced Claim Management Specialist to join our team.About the PositionThe successful candidate will be responsible for managing new and ongoing contractor claims, collaborating with internal stakeholders to implement strategies to minimize future claim occurrences, and analyzing, processing, and resolving claims...

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...

At Petroleum Development Oman, we are committed to delivering high-quality products and services to our customers.About the JobThe Claim Management Specialist will be responsible for managing new and ongoing contractor claims, providing independent and professional support to Project Teams, and ensuring consistency in claims analysis across all claims prior...

We require experienced construction project Claims Managers to work on various major cost management projects in Oman. We are a British-run project and cost management consultancy operating in the GCC for 5 years.Applicants must have specialist experience in construction claims, delay analysis, EOT, and contractual correspondence. You must be degree...

Pure Logic Group invites applications from seasoned Claims Resolution Experts for our major cost management projects in Oman. As a member of our team, you will be responsible for specialist experience in construction claims, delay analysis, EOT, and contractual correspondence.A degree qualification and MRICS membership are preferred, while a law...

About the RoleWe are seeking a highly skilled Urology Medical Specialist to join our esteemed team in Muscat, Oman. This exciting opportunity allows you to work with one of the prestigious clients in the region.Key Responsibilities:Examining and treating patient conditions related to the genitourinary organs and tracts.Documenting patient histories and...

About the RoleWe are seeking an experienced Emergency Medicine Specialist to join our prestigious client's team in Oman. This is a fantastic opportunity for medical professionals looking to advance their careers and contribute to the growth of the healthcare sector.Title: Specialist - Emergency Medicine (ER)Location: OmanResponsibilities:Perform triage on...

At GIG Gulf, we prioritize compliance with all applicable laws, regulations, and industry standards.We seek an experienced DB Claims Executive to join our Direct Billing Claims Department, responsible for ensuring compliance and maintaining high-quality claims processing.The ideal candidate will possess excellent communication skills, both written and...

About the OpportunityWe are seeking a highly skilled ENT Specialist to join our team in Oman.The ideal candidate will have:A Doctor of Medicine (MD) degree.Completed an otolaryngology residency program.A valid and active medical license in the state they wish to practice.Membership or Fellowship in a professional organization related to...

About UsThe Sultan Qaboos Comprehensive Cancer Center is a renowned healthcare provider in Muscat, Oman, offering state-of-the-art cancer treatment and care services. Our center is committed to delivering exceptional patient outcomes through innovative treatments, cutting-edge technology, and compassionate care.We are currently seeking a highly skilled...