Medical Claims Evaluator

10 hours ago


Muscat, Muscat, Oman beBeeClaims Full time 90,000 - 120,000
Job Description

As a key member of our team, you will be responsible for evaluating medical claims and providing authorizations for insured members.

You will also handle calls relating to medical cases efficiently and assess risk exposure of members in line with medical underwriting policies.

In addition, you will deliver excellent customer service to Insurance Companies and insured members with a view of achieving maximum client satisfaction.

Required Skills and Qualifications
  • Medical University degree in MBBS/MD (Only MBBS graduates will be considered)
  • Experience in Medical Claims Evaluation, preferably from TPA/MSO organization in the Insurance sector
  • Computer literacy (MS Office, Excel, PowerPoint)
  • Industry knowledge related to local healthcare services system
  • Good interpersonal and negotiation skills
  • Excellent written and verbal communication skills
  • Strong leadership, planning and organizational skills
  • Analytical and problem-solving skills
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