Job Description

Nasco Emirates is looking for an Claims Executive – Employee Benefits specialized in the medical Line of business to join the team in Abu Dhabi. The position entails the following responsibilities:

• Reviewing and processing medical insurance claims accurately and within agreed turnaround times.
• Coordinating with healthcare providers, members, and insurance companies to obtain required claim information and supporting documents.
• Assessing claims in accordance with policy terms, coverage limits, and company guidelines.
• Following up on pending claims and ensuring timely resolution of outstanding cases.
• Investigating and reassessing rejected claims to ensure eligibility and completeness of documentation.
• Handling claim-related inquiries and providing excellent customer service to clients and providers.
• Ensuring compliance with regulatory requirements, company policies, and quality standards.
• Maintaining accurate records and preparing claim reports as required.

Join a successful international group to be on a path that is only capped by your ambitions.

You are right for the role if you meet the following requirements:

• A bachelor’s degree in business administration, Healthcare Management

or a related field.

• Associate Diploma from a recognized insurance institute is a plus.
• 2-3 years of experience in medical claims Insurance line, ideally within the GCC region.
• Strong knowledge of medical insurance policies, benefits, exclusions, and claims procedures.
• Familiarity with healthcare billing, coding practices, and medical terminology.
• Strong communication and interpersonal skills with the ability to effectively engage with providers and clients.
• Proficiency in Microsoft Office applications and claims management systems.
• Ability to meet tight deadlines and manage multiple tasks.

Excited to apply? We look forward to receiving your application.