Medical Reimbursement Claims Executive - Fresh Graduates ***ONLY Emiratis with family book***
Job Fit Check
Base Career helps you apply smarter for this job.
Key skills for this role
About the Role
GIG Gulf is looking for a Medical Reimbursement Claims Executive (fresh graduates, Emiratis only) to process insurance claims accurately and timely. The role requires a nursing/healthcare/pharmacy background and involves handling claims, member relationships, and ensuring compliance with policy terms.
Key Skills for This Role
Responsibilities
- Process insurance claims following defined procedures and policy terms
- Handle relationships with members by explaining settlements and justifying rejections
- Approve claims within authority limits and refer cases to manager when exceeded
- Reject claims late declared as per policy wording
- Keep all files and information confidential
Requirements
- Nursing/Healthcare/Pharmacy background preferred
- Basic understanding of insurance industry
- Basic medical terminology knowledge
- Computer handling skills
- Must be Emirati with family book
Full Job Posting
Job Purpose
- To process insurance claims in a timely and accurate manner in accordance with Claim’s policy.
- To respond to and liaise as required with GIG policy holders, insurance brokers and network providers in a professional and courteous manner.
Key Responsibilities
- Process claims following defined procedures and in accordance with the conditions & terms of the policies.
- Handle relationships with Members by asking for additional information, explaining settlements, and justifying rejections.
- Process claims within a reasonable time frame within SLA.
- Minimize conflicts with members while applying policy terms and conditions.
- Reject claims lately declared by clients as per Policy Wording.
- Approve claims within authority limits and refer cases to Manager for approval when exceeded.
- Process claims as per claims guidelines.
- Keep all files & information confidential.
Essential Requirements
- The role requires little independent thought or judgment acting within well defined policies and procedures.
- Problems are routine/basic in nature; complex issues referred to senior staff.
- Works under close supervision within defined Claims policies and operating procedures.
- Nonstandard issues beyond authority levels referred to next level management.
- Nursing/Healthcare/Pharmacy background preferred.
Operational & Technical Responsibilities
- Basic understanding of related areas such as accounts/billing.
- Broad knowledge of GIG Insurance policies.
- General understanding of Branch structure and policy setups.
- Basic knowledge of insurance industry.
- Basic medical terminology and computer handling skills.
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at GIG Gulf
IT Systems Support Engineer ***ONLY Emiratis with family book***
Dubai, UAE
GIG Gulf is looking for an IT Systems Support Engineer to provide field support for staff in Dubai. The role involves installing, upgrading, and troubleshooting hardware and software, managing end-user issues, and ensuri
Business Development Associate - SME
Dubai, UAE
GIG Gulf is hiring a Business Development Associate to develop and manage relationships with SME clients, drive business growth, and achieve sales targets. The role requires 3 years UAE insurance experience and a strong
Regulatory Affairs Specialist - Health Insurance
Dubai, UAE
GIG Gulf is seeking a Regulatory Affairs Specialist to analyze regulations, ensure compliance with health and federal regulations for the Health Line of Business, manage regulatory queries and complaints, conduct audits,
Outpatient (OP) Medical Board Executive
Dubai, UAE
GIG Gulf seeks an Outpatient Medical Board Executive to assess and evaluate pre-approval requests for medical eligibility and policy terms. The role involves adjudicating insurance pre-approvals, cost containment, and fr
Marketing Manager
Dubai, UAE
GIG Gulf seeks a Marketing Manager to develop and execute strategic marketing plans across UAE, Oman, Bahrain, and Qatar. The role involves brand management, campaign execution, digital marketing, and team leadership. Re
Marketing Executive ***ONLY Emiratis with family book***
Dubai, UAE
GIG Gulf is looking for a Marketing Executive (Emirati national with family book) to write, edit, proofread, and translate copy in English and Arabic for various marketing materials. You will collaborate with teams to de
Policy and Contracts Administration Executive - Health Insurance
Dubai, UAE
GIG Gulf is hiring a Policy and Contracts Administration Executive to provide end-to-end administrative support for health insurance policies. The role involves policy setup, endorsements, data entry, translation, and re
Business Development Associate - SME & Retail
Dubai, UAE
GIG Gulf is hiring a Business Development Associate to develop and maintain relationships with SME clients, achieve sales targets, and generate new business opportunities. The role requires 3+ years of UAE insurance mark
IT Systems Support Engineer ***ONLY Emiratis with family book***
Dubai, UAE
Business Development Associate - SME
Dubai, UAE
Regulatory Affairs Specialist - Health Insurance
Dubai, UAE
Outpatient (OP) Medical Board Executive
Dubai, UAE
Marketing Manager
Dubai, UAE
Marketing Executive ***ONLY Emiratis with family book***
Dubai, UAE
Policy and Contracts Administration Executive - Health Insurance
Dubai, UAE
Business Development Associate - SME & Retail
Dubai, UAE