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Job Details:
Position Name : Customer Service Advisor/Nurse
Location: Dubai
Job ID : 7e9af2b7d849b6b1
Description : Transguard Group was established in 2001 and has diversified significantly, we lead in the fields of Cash Services, Security Services, Manpower Services, Facilities Management & Aviation. Transguard Group is the UAE’s most trusted business support and outsourcing provider and has a large, dynamic, and culturally diverse workforce with 50,000 employees! We are currently recruiting for a Customer Service Advisor-Healthcare for our Client which is based in Dubai.Responsibilities: Review all the enrollment/application forms to ensure they are completeEnter all data in CIRIS for policy and endorsements issuanceIssue all the Medical ID Cards for all the BeneficiariesEnsure that all Enrollment/Application documentation is filed and stored in the dedicated manual and/or electronic retrieval systemAnalyze prior-approval requests, negotiate the cases with the medical providers, approve the cases when agreement is reached and enter the claim into Ciris.Supervise In-patient claims (this supervision includes visits to the patients during their hospitalization)Communicate with Insured Members on their claims and on any request coming from an Insured MemberReceive claims from the reception or via eclaims downloadSort & register all received claims and ensure claims are properly documented.SkillsClinical or paramedical qualifications/ degree required at Tertiary levelTo possess and demonstrate knowledge of Medical Policy wordings for policies issued.The job requires a sound knowledge of all medical insurance policies and billing policies.The job requires expert knowledge of medical conditions, treatments and procedures in order to guide claimants and challenge medical practitioners and healthcare providers.Computer Skills, Word, Excel and Data entryEnglish speaking and writing2 years in clinical/paramedical field and preferably customer contact experienceJob Types: Full-time, ContractContract length: 6 monthsSalary: AED5,000.00 per monthExperience:customer service: 1 year (Preferred)
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