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Medical Underwriter/Medical Claims Supervisor- Insurance Sector

5.00 to 7.00 Years   Al Kuwait, Kuwait   08 Mar, 2022
Job LocationAl Kuwait, Kuwait
EducationBachelor's degree / higher diploma
SalaryNot Mentioned
IndustryInsurance & TPA
Functional AreaNot Mentioned

Job Description

Health Underwriterreviews applications for coverage, gathers data, and assesses risk related to qualifying a candidate forhealth insurance.Calculates and recommends pricing.Being aHealth Underwriterperforms group and/or individualunderwriting.Medical Claim Supervisor:? Verifies the received insurance claims & related documents from reception or billing clerk.? Verifies all information mentioned in the claim (services/treatments with the given diagnosis, coverage, and exclusions)? Communicate with all doctors regarding missing required information or filling mistakes or rejection details and the cause.? Verifies the rejection and prepares the required preventive action plans.? Updates doctors about the Insurance Exclusions & Policies on a regular basis.? Prepares report of the medical errors of the claims or other reports/statements as and when needed.? Checks documents and registration status and maintains departmental records and files.? Documents medical claims actions by completing forms, reports, logs, and records.? Reviews and completes insurance-claim forms and related documents daily? Answers any inquiries regarding insurance claims, missing documents, error corrections status.? Protects operations by keeping claims information confidential.? Adheres to all hospital policies, procedures, and guidelines in addition to insurance regulations.

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