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We are looking for a Medical Coder for our claims processing team. If you have a bachelor’s degree in medicine or nursing and are willing to re-locate to Bahrain, below is a detailed description of the role.

The Claims Processor is responsible for claims processing of UAE and non-UAE markets.  This includes electronic claims, manual paper claims and reimbursement claims.  The claim processor is required to analyze a claim based on policy conditions, regulatory requirements, international medical guidelines and SAICOHEALTH internal process and procedures.

Main Responsibilities.

  • Perform claims data entry and medical review.
  • Adjudicate each claim and associated services based on coding rule (UAE market) and policy conditions that includes system driven eligibility checks, coding checks and perform medical necessity checks.
  • Follow pre-approval protocols as per provider handbook.
  • Ensure claims are accurately paid as per agreed tariff and apply proper reasonable and customary charges as per internal guidelines.
  • Approve claims up to the assigned authority matrix.
  • Coordinate with pre-approval team and network team on a case by case manner where relevant for the claims adjudication.
  • Coordinate with providers in explaining the rejections on claims
  • Responsible for paper claims registration and reception desk as a back-up staff

Candidate Requirements.

  • We are looking for a Doctor or a Nurse by education.
  • Familiarity with CPT, HCPCS, ICD-10-CM, and ASA codes, in addition to APC and DRG codes
  • Successful completion of a coding certification program.
  • Strong knowledge of anatomy, physiology and medical terminology.
  • Excellent typing speed and accuracy
  • Commitment to a high level of customer service

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The Chief Accountant will be focusing on:

  • Branch accounting – AR / AP & GL
  • Abu Dhabi  & UAE Regulatory returns
  • Budget preparation
  • VAT returns
  • Consolidation of UAE Financials
  • Coordinating with External & Internal Auditors in completing the UAE Financials

Experience in the insurance industry is important.

 

Main responsibilities.

  • Supervises trains and evaluates accounting staff.
  • Ensures all functions and programs are performed within established budgetary parameters, to include performing cost control activities, monitoring revenues and expenditures and ensuring sound fiscal control.
  • Performs highly complex accounting work according to generally accepted accounting principles, established procedures, departmental guidelines, and regulatory requirements applicable to the work.
  • Prepares critical fiscal documentation regarding accounting activities, e.g., weekly, monthly and annual reports.
  • Manages coordinates, and implements the year end closing processes and procedures for the assigned accounting records; conducts year-end closing process; provides information to financial auditors.
  • Ensures adherence to generally accepted accounting standards and principles; ensures maintenance of proper audit trails and verification and reconciliation actions for all processed work.
  • Evaluates receipts, expenditure forms, purchase orders, distributions, and disbursement orders for the purpose of ensuring compliance with established regulatory standards.
  • Performs verification and reconciliation tasks for invoices/receipts/balances according to department checks and balances procedures.
  • Prepares a variety of studies, reports and related information for decision-making purposes.
  • Attends and represents department at various executive meetings for the dissemination of information.
  • Adheres to the contents of the Company’s overall internal procedures and policies.
  • Miscellaneous tasks within the scope of work, as assigned by the direct manager.

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At Damana Insurance, we are hiring a Sales Executive for our office in Dubai.

The role

This is a through-and-through business development role for all lines of insurance in Dubai market with special focus on Medical insurance. You will be selling to existing clients and potential sales leads that can be generated from telemarketing or professional networks.

You will be working with the Head of the department to get a better understanding of our products and address client inquiries.

Responsibilities

  • Identify and target sales lead
  • Secure long term business.
  • Attend for clients requirement on daily basis..
  • Achieve the organization target.
  • Reviews contracts as required.
  • Have a good working knowledge of the insurance products available, insurance trading conditions, the Company’s products and services.

Job Description

  • Responsible for developing direct sales team and other channels of distribution to grow the medical and non-medical lines of business. Actively involve managing the direct business portfolio
  • Responsible for providing high level of service to clients with the aim of developing and ensure expansion of the general insurance portfolio by means of value added services.
  • Conducting product presentations internally and externally.
  • Identifying market trends and target customers’ needs to review and recommend product /service offerings.
  • Working closely with underwriters to retain existing business and develop new business for both individual and corporate accounts.
  • Liaise with various channels and operational areas to ensure quality services to Medical customers.
  • Ensuring payments are collected on time
  • Preparing and conducting scheme presentations to clients with aim of providing high service levels.
  • Analyzing and evaluating internal work flow process and implementing new strategies and procedures
  • Exploring and understanding new market practices, procedures, and implementing procedures as applicable.
  • Quarterly/Monthly reviews with clients.

Qualifications and skills

  • Bachelor’s degree preferably in Business field
  • Sales experience or Insurance Sales is an added advantage

This position offers a basic salary + commission.

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Job Summary

The Account Executive – Brokers Relation is responsible for building and managing the relationship with the Brokers; the incumbent will produce revenue for the corporation and manage the accounts of the brokers.

Main functions and responsibilities:

  1. Develop and maintain the relationship with the Brokers in accordance with SAICO Strategy whilst ensuring compliance with local and International Regulations.
  2. Manage the relationship with the brokers to achieve monthly new business and renewal targets.
  3. Present recommendations to AVP Brokers Relations for approval.
  4. Maintain clear and accurate data in SAICO CRM.
  5. Identify potential areas of improvement related to the brokers’ service levels.
  6. Ensure quality & consistency across all brokers’ activities and recommend process improvement when needed.
  7. Assess and identify new markets’ potential.
  8. Report to the AVP Brokers Relations the performance of the Broker account against the set objectives and targets.
  9. Ensure Company core competencies, values, policies & procedures are implemented across the teams.
  10. Miscellaneous tasks within the scope of work, as assigned by the direct manager.

Technical Experience

  • 5 years of experience in similar job – Medical Insurance field

Education

  • Bachelors degree.

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Job Summary

To effectively manage the Sales Operations and Customer Support functions. To provide unparalleled service levels to internal and external stakeholders.

Main Responsibilities

  1. Handle daily sales operations, policy issuance and endorsement process for medical and general insurance.
  2. Manage, coach and appraise the sales support team.
  3. Coordinate with internal departments to ensure process alignment and to meet regulatory requirements.
  4. Work closely with IT department to ensure continual system enhancement and escalation of issues as well as automation of manual processes.
  5. Manage relationships with external vendors.
  6. Responsible for performing process related audits and the coordination with internal auditors.
  7. Develop monitoring reports and share with management to agree on corrective measures where required to ensure optimum service level for clients.
  8. Handle specific projects as assigned by the management.

Technical Experience

  • 5-7 years of experience in an insurance operation position.

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