Claims Management

2 weeks ago


Jeddah, Saudi Arabia Bupa Arabia Full time

**Responsibilities**:
**Claims Submission**:
Review and process healthcare claims submitted by providers.

Ensure claims are accurate and comply with insurance policies and Bupa requirements.

**Issue Resolution**:
Investigate and resolve issues related to claim submissions.

Communicate with providers to gather necessary information and clarify discrepancies.

Coordinate with other departments to resolve complex issues.

**Documentation and Reporting**:
Maintain detailed records of claims and resolutions.

Prepare reports on claim status and issues resolved.

Ensure compliance with company policies and legal requirements.

**Customer Service**:
Provide exceptional customer service to providers.

Respond promptly to inquiries and concerns.

Educate providers on claim submission processes and best practices.

**Education**:
Bachelor's degree in BA or IS.

**Skills**:

- Proficiency in Excel and other data management tools.
- Analytical and problem-solving skills.
- Effective communication and interpersonal skills.
- Proficient in English.

**Education**:
Bachelor's degree in Business Administration or IS.


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