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