
Medical Claims Evaluator
10 hours ago
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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Medical Reviewer – MNSPC
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Medical Reviewer – MNSPC
3 weeks ago
Muscat, Muscat, Oman MedNet Global Healthcare Solutions LLC Full timeAs a member of Munich Re the MedNet Group is a leading Third-Party Administrator across the MEA region. We are currently seeking to hire a "Medical Reviewer" This position provides services related to medical evaluations / authorizations for (in-patient & outpatient) insured members / providers and handle calls relating to medical cases.Your Role:Medical...
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Team Leader
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Muscat, Muscat, Oman MedNet Global Healthcare Solutions LLC Full timeTeam Leader (Provide Audit & Claims Management) – MNSPCAs a member of Munich Re the MedNet Group is a leading Third-Party Administrator across the MEA region. We are currently seeking to hire an "Team Leader" This position will be responsible in detecting, addressing, and preventing claims Fraud, Waste and Abuse you will be accountable for the success of...
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Nephrology Specialist
1 day ago
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Contract Management Specialist
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Consultant / Specialist -Spine Surgeon
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