
Healthcare Claims Officer
6 days ago
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 skills, both written and verbal, and hold a medical education degree (Physician or Dental).
Key Responsibilities:
- Communicate effectively with providers and other departments through emails and phone calls.
- Review and evaluate complex or high-value claims, taking decisions on claims settlements.
- Train new team members and provide ongoing training to existing staff.
Operational & Technical Responsibilities:
- Oversee the claims processing workflow, coordinating with the direct billing claims 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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