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Medical Approval Specialist
2 months ago
Job Summary: We are seeking a highly skilled Medical Approval Officer to join our team at Izzat Marji Group. The successful candidate will be responsible for handling relations with medical providers, analyzing prior-approval requests, and supervising in-patient claims.
Key Responsibilities:
- Establish and maintain strong relationships with medical providers to negotiate discounts and study price lists.
- Analyze and negotiate prior-approval requests, ensuring timely and accurate approvals.
- Supervise in-patient claims, including visits to patients during hospitalization, to ensure seamless claim processing.
- Provide medical expertise and guidance to internal teams and clients.
- Validate medical claims in the insurance system to ensure accuracy and compliance.
- Communicate effectively with insured members regarding claims and requests.
- Develop and deliver training seminars on medical insurance products to clients and internal stakeholders.
- Maintain confidentiality of all medical information.
Requirements: Locals only. MBBS degree required. Strong communication and negotiation skills essential.
How to Apply: Please submit your CV to the relevant department.