DB Claims Specialist

1 day ago


Muscat, Muscat, Oman beBee Careers Full time

Job Summary

We are seeking a skilled DB Claims Executive to join our team. The ideal candidate will have excellent communication skills, a medical education degree, and experience in claims processing.

Key Responsibilities

• Team Management: The successful candidate will oversee the team in both claims processing and communication, providing guidance and support to team members.

• Claims Processing: They will be involved in the processing of direct billing claims, reviewing complex or high-value claims, and taking decisions on claims settlements.

• Communications: The DB Claims Executive will communicate with providers and other departments through emails and phone calls, including claims registration, escalations, and handling provider queries.

• Training and Development: They will be involved in the training of new team members and providing ongoing training to existing staff, preparing training materials and providing feedback and coaching.

• Performance Monitoring: The DB Claims Executive will track and monitor the performance of the direct billing claims team, providing feedback to team members and identifying areas for improvement.

• Process Improvement: They will identify opportunities to streamline processes, enhance efficiency, and reduce errors or delays in claim processing.

• Reporting and Analysis: The DB Claims Executive will prepare reports and analyze data related to the team's performance and claim trends, providing regular updates to their line manager.

• Compliance and Quality Assurance: They will ensure compliance with all applicable laws, regulations, and industry standards, conducting quality assurance audits and internal reviews.


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