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    Claims Officers | A Leading TPA (Third Party Administrator) in Medical Insurance

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    Employment:

    Full Time

    ? To issue online and verbal authorizations based upon member coverage & medical justification.? To assist queries from providers and payers via phone calls or e-mails? To maintain files for authorizations and other reports.? Assessing and processing claims in line with the policy coverage and medical necessity.? Be fully versed with medical insurance policies for various groups / beneficiaries.? Might be required to assist in training colleagues and sharing knowledge.? Able to accurately assess eligibility within the UAE (HAAD and DHA) guidelines as well as policy boundaries.? Monitoring and maintaining the claims processing and adjudicating cycle in operational software system as per the defined terms and policy of the organization.

    Salary:
    AED
    4,500 to 6,000
    per month inclusive of fixed allowances.
    Additional benefits: Annual ticket, medical and life insurance

    ? University degree in any discipline of Medical/Para-medical specialization from a reputable university.? Healthcare/Hospital experience for 1-2 years, in departments such as Surgery, ICU or GP, is required.? 1 – 2 years of work experience in the Insurance industry is preferable but not mandatory.? Excellent oral and written communication skills.? Must be computer literate.? Excellent command of the English language, Arabic is a definite plus.? Should be a team player with an aptitude for customer service. Must be service oriented.? Highly decisive with outstanding logic and reasoning skills.? Candidate must be tactful and discrete while dealing with Providers or Payers; must be able to handle confidential information.? Ability to work under pressure and meet tight deadlines and varying work-schedules.

    One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

    We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

    It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

    We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential. More

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      Registered Office Nurse | A Leading Financial Organization in Qatar

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      Employment:

      Contract

      Immediate hiring for Registered Nurse for a Reputed Office in Westbay, applicants in Qatar to applyWe are looking for a Registered Nurse to join our Company in providing excellent health care to our office personnel. Your duty of caring for the employees in the office include tasks like creating and maintaining accurate patient records, administering medication and monitoring for side effects, recording vital signs, and reporting symptoms and changes in patient conditions.QCHP license are essential requirements for consideration. A professional, friendly attitude and effective communication skills are keys to becoming successful in this role

      – Candidates available in Qatar with transferable visa or family sponsorship- 5 days working in a week- Working hours 8:00am-5:00pm- Bachelors degree or Masters degree in nursing.- Ability to effectively communicate with patients, families, physicians and hospital staff.- Basic computer skills.- Professional, friendly attitude.

      A leading Financial Organization in Qatar. More

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      in Job Posting

      Nurse | Dubai Investments

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      Employment: Full Time

      Perform duties that are instructional in nature. Serve for the implementation of educational programs and nursery day to day operation, liaising with and support parents by providing them a daily update of activities held in the Daycare.

      1. To provide a high standard of physical, emotional, social and intellectual care for children placed in the Day care.2. Operate a program of activities suitable to the age range of children in the area in conjunction with other staff.3. Work with parents of special needs children to give full integration in the Day care.4. Support all staff and engage in a good staff team.5. To be flexible within working practices of the Day care. Be prepared to help where needed, including to undertake certain domestic jobs within the Day care, e.g. preparation of snack meals, cleansing of equipment etc.6. Work alongside the manager and staff team to ensure that the social target behind the Day care is fulfilled.7. Recording accidents in the accident book. Ensure the manager has initialled the report before the parent receives it.8. Look upon the Day care as a “whole” where can the nurse help is most utilized, constantly aware of the needs of children.9. To respect the confidentiality of information received.10. To actively promote and support the safeguarding of children and young people in the workplace, ensuring Day care policies and procedures are observed at all times.11. Liaise with and support parents by providing them a daily update of activities held in the Day care, which should be registered in the children diary book.

      Dubai Investments PJSC is a leading investment company listed on the Dubai Financial Market with over 19,800 shareholders and a paid-up capital of AED 4 billion. Incorporated in 1995, Dubai Investments PJSC is a world-class company that targets investments in viable and profitable entities. The Company has grown exponentially with investments in a number of businesses across sectors – real estate, manufacturing & industrial, healthcare, education and financial investments across the UAE and the Middle East.
      Dubai Investments portfolio includes 40 subsidiaries & joint ventures across a wide array of industries. Since its inception, Dubai Investments has challenged the norms and introduced cutting-edge technologies, pioneering business models, unique investment strategies and innovative concepts across its diversified portfolio spanning different sectors and markets.
      Setting an example of strong, sustainable growth, Dubai Investments aims to continue its journey towards enhancing the commercial and trade interests of the UAE as it continues to seek investment opportunities in new sectors, locally and internationally, as part of its strategic expansion plans.
      Dubai Investments’ core operating principles are to achieve attractive returns from investing in healthy businesses with high growth potential; to achieve shareholder satisfaction through a commitment to total quality, to leverage the opportunities offered by new technology; and to be a good corporate citizen, with clearly defined value proposition, including:
      Ethics
      Integrity
      Accountability & Ownership
      Work Excellence
      Human Capital Asset
      Innovation More