Claims Executive

23 hours ago


Muscat, Muscat, Oman beBee Careers Full time

Job Description

We are looking for a highly skilled DB Claims Executive to join our team. The successful candidate will have a strong understanding of claims processing, excellent communication skills, and a medical education degree.

Responsibilities

• Manage the claims processing workflow, coordinating the workflow within the direct billing claims department.

• Ensure the accuracy and quality of claims processing within the team, conducting regular audits and quality checks.

• Evaluate claims based on policy terms and conditions, medical necessity, and coding guidelines.

• Report potentially fraudulent or suspicious claims and collaborate with relevant departments.

• Maintain accurate and up-to-date information on contracted healthcare providers.

• Assist in the evaluation and review of claims rejections.

• Ensure proper replies to email communications in a professional and timely manner.

Requirements

• Due to regulatory requirements, only Omani nationals will be considered for this role.

• Medical education degree is required (Physician or Dental).

• Very good communication skills.

• Excellent command of English language.

Desirable

• 2-3 years of experience in Claims processing, Employee benefits/ Healthcare and / Group Life.


  • DB Claims Executive

    4 days ago


    Muscat, Muscat, Oman GIG Gulf Full time

    DB Claims Executive - Healthcare **Omani National**Who we areGIG Gulf is part of the Gulf Insurance Group (GIG), the #1 largest regional composite insurer in the Middle East and North Africa, with presence in 13 markets including the United Arab Emirates, Bahrain, Oman, Qatar, Saudi Arabia, Algeria, Egypt, Iraq, Jordan, Kuwait, Lebanon, and Turkey. GIG Group...

  • DB Claims Specialist

    23 hours ago


    Muscat, Muscat, Oman beBee Careers Full time

    Job SummaryWe 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...


  • Muscat, Muscat, Oman beBee Careers Full time

    About the RoleWe are seeking a skilled DB Claims Executive to join our team. The ideal candidate will have a strong understanding of claims processing, excellent communication skills, and a medical education degree.Main Responsibilities• Oversee the claims processing workflow, ensuring the smooth and efficient processing of claims.• Ensure compliance...


  • Muscat, Muscat, Oman beBee Careers Full time

    Key Job ResponsibilitiesThe DB Claims Executive will be responsible for managing the team, processing claims, communicating with providers, and training team members.Key Skills and Qualifications• Strong understanding of claims processing.• Excellent communication skills.• Medical education degree (Physician or Dental).• Ability to work efficiently...


  • Muscat, Muscat, Oman beBee Careers Full time

    Project Execution SpecialistThis role involves overseeing project operations and ensuring that projects are executed in accordance with company procedures, cybersecurity regulations, and quality standards.Responsibilities:Develop and implement continuous improvement strategies for project execution.Ensure that projects consistently apply contract and claims...


  • Muscat, Muscat, Oman beBee Careers Full time

    Role ResponsibilitiesThe ideal candidate will have strong commercial acumen, vendor management skills, and a proven track record in retail category planning.Key responsibilities include:Building and maintaining strong relationships with suppliers, negotiating pricing, promotional support, and trading terms.Optimizing product assortment based on performance...


  • Muscat, Muscat, Oman Liva Insurance Oman Full time

    This role is about effectively managing Insurance and Reinsurance Premiums receivable (including Receivables from Third Party Insurance Companies where applicable) through embedding the Insurance operations Credit Risk policy, delivering healthy cash flow for the operational needs of the business through timely collection of receivables, managing overdue...


  • Muscat, Muscat, Oman beBee Careers Full time

    Job Summary:We are seeking an experienced Contract Administrator to join our team. As a key member of the procurement and contract management department, you will be responsible for managing contracts and ensuring compliance with company policies and procedures.Key Responsibilities:Manage contracts from initiation to closure, ensuring timely and efficient...

  • Cost Manager

    23 hours ago


    Muscat, Muscat, Oman beBee Careers Full time

    Cost Management ProfessionalAbout this RoleWe are seeking a highly experienced Cost Manager to join our team. As a Cost Manager, you will be responsible for preparing contract documents, warranties, bonds, and licenses, as well as advising on the administration of construction works or services contracts.Key ResponsibilitiesContract Administration: Prepare...

  • Senior Cost Consultant

    23 hours ago


    Muscat, Muscat, Oman beBee Careers Full time

    Career Opportunities in Cost ManagementAbout UsWe are a leading organization in the construction industry, providing a range of services including project and programme management, cost consultancy, and cost management.Job DescriptionWe are seeking a highly experienced Cost Manager to join our team. As a Cost Manager, you will be responsible for preparing...