Medical Claims Officer (UAE Nationals)

Job Description

411_2971086

General Overview

We are supporting one of our healthcare clients in the UAE to hire a Medical Claims Officer with solid experience in reviewing and processing IP/OP medical claims. The ideal candidate will have a strong eye for detail, good analytical skills and an understanding of medical terminology coding and policy guidelines. This role is based at Dubai Silicon Oasis.

Key Responsibilities

• Review evaluate and process Inpatient (IP) and Outpatient (OP) medical claims with accuracy.
• Verify policy coverage limits coding accuracy and medical necessity in line with client guidelines.
• Ensure claims adjudication complies with established rules, standards and procedures.
• Coordinate with internal teams TPAs and healthcare providers to obtain clarifications or missing documents.
• Detect inconsistencies, errors or potential fraud and escalate appropriately.
• Meet required turnaround time (TAT) and quality benchmarks.

Key Requirements

• UAEN with a Family Book – Mandatory
• Educational background in Pharmacy, Healthcare, Medical Coding, Nursing or a related field.
• Prior experience in medical claims processing or adjudication is an advantage.
• Strong analytical, communication and decision‑making skills.
• Ability to join immediately or on short notice is preferred.

#J-18808-Ljbffr

2026-03-25 09:01:39