Claims Management Processor - Qatar

1.00 to 10.00 Years Doha, Qatar 23 Nov, 2021

Claims Management:

Ensures that insurance claims information is entered into the system correctly
Ensures that provider?s fees and service items charges coincide with their existing contract price list.
Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing.
Compares data on claims applications.
Screens claim documents and process claim adjustment.
Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing.
Adaptability in various work-related tasks to be able to facilitate a multi-tasking role.

Filing/Monitoring:

Stands as a reference person for information on inquiries concerning claims processing procedures.
Monitors correct application of beneficiary share accordingly on service items billed.
Makes sure that claims are properly audited of all data entered with accurate medical claims details.
Notes all discrepancies during the course of the system process are properly forwards and notifies to immediate supervisors.
Provide requisition of office supplies for Individual and Team requirement.

Other Duties:

Keyskills :

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