Job Description

We are seeking a motivated and detail-oriented Medical Claims Executive (UAE National) to join our Medical Claims team. This role is ideal for fresh graduates from medical and healthcare-related disciplines who are interested in building a long-term career within the insurance industry. The successful candidate will be responsible for reviewing, assessing, and processing medical claims in accordance with company policies, medical guidelines, and regulatory requirements.

What you will do 

• Review and process medical insurance claims accurately and within agreed service standards.
• Verify claim documentation, medical reports, treatment records, and supporting documents.
• Assess claims eligibility based on policy coverage, exclusions, and benefits.
• Coordinate with healthcare providers, hospitals, clinics, and internal stakeholders to obtain additional information when required.
• Ensure compliance with company procedures, medical protocols, and regulatory requirements.
• Identify discrepancies and escalate complex cases for further review.
• Maintain accurate records and updates within the claims management system.
• Support customer and provider inquiries related to claim status and documentation requirements.
• Contribute to continuous improvement initiatives aimed at enhancing claims efficiency and customer experience.

Required Skills to be successful 

• UAE National with Family Book (Emirati) – Mandatory
• Bachelor’s Degree in:
  • MBBS (Medicine)
  • Pharmacy
  • Medical Laboratory Sciences
  • Nursing
  • Biomedical Sciences
  • Or any other medical or healthcare-related discipline

Experience

• Fresh graduates are encouraged to apply.
• Previous internship or healthcare-related experience will be an advantage but is not mandatory.
• Candidates must demonstrate a strong interest in pursuing a career within the insurance industry.

What equips you for the role (Skills Required)

• Good understanding of medical terminology and healthcare concepts.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Attention to detail and accuracy.
• Ability to work under pressure and manage high volumes of work effectively.
• Strong organizational and time management skills.
• Customer-focused and service-oriented mindset.
• Proficiency in Microsoft Office applications.
• Ability to work both independently and collaboratively within a team.