Claims Process Executive – WARBA Insurance

Job Listing No: 9740000

Claims Process Executive – WARBA Insurance

Role Title: Claims Process Executive

Role purpose summary: Pre-approval and Claims processing

 

Key Responsibilities and Accountabilities:

  • Data Entry in the system
  • Responsible for screening all the Preapprovals including in-patient cases.
  • Take decisions based on policy wordings, coverage, limits, necessity and correctness of the service codes.
  • Medical reports analysis and assessment.
  • Providing a medico-legal justification elements for the rejected or partially approved cases.
  • Handling the calls of the Preapprovals and medical queries.
  • Capturing the details of the invoice (Member Name, Policy Number, Group Name, Received Date, Lot Number, Invoices) into the system.
  • Auditing the system adjudication with the benefits and the amounts claimed
  • Comparison with Provider Statement (For Direct Billing Claims).
  • Updating the Team Leader with the progress report.
  • Achieve the targets put up by the Team leader

Job Details

Posted Date:2018-10-10
Job Location:Al Kuwait, Kuwait
Job Role:Support Services
Company Industry:Insurance

Preferred Candidate

Career Level:Mid Career

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