- Medical Reimbursement Claims Executive (UAE Health Insurance)

Key Roles & Responsibilities

- Receive and register reimbursement claims in the designated tracker/system.
- Verify claim documents for completeness, accuracy, and validity.
- Validate claims against policy terms, coverage, advantages, and exclusions.
- Identify missing documents, discrepancies, and errors and coordinate for corrections.
- Submit claims to the relevant UAE insurers/TPAs within defined TAT.
- Follow up with insurers/TPAs to ensure timely claim processing and settlement.
- Communicate claim status, requirements, and updates to clients.
- Handle insurer queries, claim discrepancies, rejections, and reconsideration requests.
- Track pending claims, monitor ageing, and escalate overdue cases.
- Record approvals, settlements, deductions, rejections, and closure details.
- Maintain accurate claim records, trackers, and supporting documentation.
- Prepare periodic MIS reports on claim volumes, TAT, pending cases, and outcomes.
- Ensure compliance with internal SOPs, data confidentiality, and quality standards.

Pay: ₹37,500.00 - ₹40,000.00 per month

Work Location: In person

📌 Operations Executive - Claims Reimbursement (Kochi)
🏢 HTIC Global
📍 Kochi