Specialist – Medical Claims Audit

Job Description

Hiring Now: Specialist – Medical Claims Audit (Anti-Fraud & Investigation)
We are seeking a highly motivated professional with a strong healthcare background to support our Anti-Fraud and Investigation function.
Essential Qualifications:
• UAE healthcare/insurance experience is mandatory
• Medical background with sound clinical understanding
• Experience in medical case management and claims investigation
• Strong knowledge of ICD, CPT, DRG (IR) and healthcare coding practices
• Proficiency in data analytics and fraud detection methodologies
• UAE driving license with the ability to travel across the UAE as required
Please note: Applications from candidates without relevant UAE experience will not be considered.