
Healthcare Claims Manager Omani National
5 days ago
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 education degree (Physician or Dental).
Key Responsibilities:
- Manage the claims processing workflow, coordinating with the direct billing claims team.
- Review and evaluate complex or high-value claims, taking decisions on claims settlements.
- Communicate with providers and other departments through emails and phone calls.
Operational & Technical Responsibilities:
- Oversee the accuracy and quality of claims processing within the team.
- Evaluate claims based on policy terms and conditions, medical necessity, and coding guidelines.
Role Requirements:
- Due to regulatory requirements, ONLY Omani nationals will be considered for this role.
- Medical education degree is required (Physician or Dental).
- Excellent command of English language.
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