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Claims Assessor (1 year contract)
Negotiable Salary
Indeed
Full-time
Onsite
No experience limit
No degree limit
Miswaco, Doha, Qatar
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Description

\*\* 1 Year contractual role \*\* \*\* Qatar local candidates with valid QID preferred \*\* * MBBS Degree. * Min 3 to 5 years of experience. * Sound **medical knowledge** and willing to work in **non\-clinic process**. * Minimum of **1\-year** experience in **handling authorization**. * Should be willing to **work in shifts as the department works on 24/7 function**. * To manage and process claims, ensuring documentation, verifying eligibility, obtaining necessary pre\-authorization and facilitate billing for the reimbursement process. * Provide accurate and timely medical claims handling services in accordance with company policies, procedures, and standards. * Assess, evaluate, and process claims in an effective and efficient manner to support the smooth operation of the Claims function. * Maintain detailed and accurate records of all claim’s assessments and decisions. * Liaise with internal departments and external medical providers to gather necessary information for claim adjudication. * Ensure compliance with regulatory requirements, company guidelines, and service level agreements (SLAs). * Contribute to the continuous improvement of claims processes and systems. * Be flexible in working across different types of Claims functions, as assigned by management. Job Types: Full\-time, Permanent Work Location: In person

Source:  indeed View original post
Fatima Al-Kuwari
Indeed · HR

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