Abu Dhabi National Insurance (ADNIC) Jobs 2022 – Apply Online For Senior Surveyor – Motor Claims Jobs in Abu Dhabi,UAE

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Abu Dhabi National Insurance (ADNIC) Jobs 2022 – Career Opportunity for Senior Surveyor – Motor Claims Jobs Abu Dhabi, UAE

Best Jobs in Abu Dhabi National Insurance (ADNIC):- Abu Dhabi National Insurance (ADNIC) Careers site has published 2022-2023 Abu Dhabi National Insurance (ADNIC) Jobs notification for Senior Surveyor – Motor Claims Position. Candidates who have Bachelor’s degree qualification in any stream with required experience eligibility can apply online through Abu Dhabi National Insurance (ADNIC) Recruitment site. The location of this Senior Surveyor – Motor Claims Position is Abu Dhabi. Salary AED 9850.00-19850.00 Monthly approximately.

Abu Dhabi National Insurance (ADNIC) Job description related to this Senior Surveyor – Motor Claims Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Abu Dhabi National Insurance (ADNIC) Jobs Summary According to Abu Dhabi National Insurance (ADNIC) Careers Site

Hiring Organization/Agency :- Abu Dhabi National Insurance (ADNIC)

Profile Name :- Senior Surveyor – Motor Claims

Job Location :- Abu Dhabi, UAE

Job Type :- Company Jobs in UAE

Salary :- AED 9850.00-19850.00 Monthly

Job Description

Senior Surveyor – Motor Claims

Dubai, United Arab Emirates

Job Purpose

The job holder is responsible to receive motor claims and perform functions as delegated by Supervisor and/or Assistant Manager; review, validate claims, and ensure prompt action in compliance with insurance policies, set company standards, procedures, and guidelines.

Policies, Processes & Procedures:

Follows all relevant departmental policies, processes, standard operating procedures and instructions so that work is carried out in a controlled and consistent manner.

Claims Activities:

  • Inspects insured clients damaged vehicle, and, where appropriate, damage to third party vehicles and property
  • Arranges for repair estimates and assesses the loss, negotiates with garages and arrives at the Loss repairable or replaceable
  • Prepares Survey Reports in sufficient details as per ADNIC’s procedures
  • Ensures that the policy terms and conditions with regard to policy deductible and depreciation are applied in motor claims applicable
  • Negotiates skilfully with all Agencies to reduce the cost of repair
  • Maintains contact with appointed vehicle repair garages
  • Follows the cars logistics workshop & agencies
  • Negotiates and approves repairs for allotted Fleet Policies
  • Recommends to Claims Manager in issuance of repair orders to garages or agencies
  • Updates himself about the technical details of new vehicles in the market & technology to repair such vehicles and about the capabilities of garage agency
  • Liaisons with garage, agency & customers and maintain good & fair relationship authorities delegated
  • Ensures no delays are faced by customers and that estimates are approved without delays
  • Follows up and performs any other job-related instructions/ duties requested by their Management

Reports:

  • Provides Management with appropriate reports regarding the unit and compliance with operational policy and procedures.
  • Prepares monthly report of motor claim survey done

Education Qualification

Minimum Bachelor’s Degree

Preferred Professional certifications:

Certificate in Insurance (CII), Associate in Risk Management (ARM), Associate or Diploma in Chartered Insurance Institute (Dip CII or ACII), Associate in Insurance Services (AIS), Fellow Insurance Institute of India (FIII)

Years & Nature of Experience   

Requires 1 to 3 years of relevant experience

Language Requirements:

Full Professional Proficiency in English and Arabic language

How to Apply For Abu Dhabi National Insurance (ADNIC)

Candidates who want to apply for Abu Dhabi National Insurance (ADNIC) Jobs for Senior Surveyor – Motor Claims Post can fill their application form as per the information given below.

  • First of all go to the official website of Abu Dhabi National Insurance (ADNIC).
  • Then click on the option of Abu Dhabi National Insurance (ADNIC) Jobs.
  • After then will get Abu Dhabi National Insurance (ADNIC) Jobs List 2022.
  • You will be able to apply for yourself by clicking on suitable jobs.
  • You can also click on the below Direct Link to Apply for this job post.

Apply Online For Abu Dhabi National Insurance (ADNIC) Jobs

Read Carefully Before Apply


Abu Dhabi National Insurance (ADNIC) Jobs 2022 – Career Opportunity for Coordinator – E-Claims Jobs Abu Dhabi, UAE

Best Jobs in Abu Dhabi National Insurance (ADNIC):- Abu Dhabi National Insurance (ADNIC) Careers site has published 2022-2023 Abu Dhabi National Insurance (ADNIC) Jobs notification for Coordinator – E-Claims Position. Candidates who have Bachelor’s degree qualification in any stream with required experience eligibility can apply online through Abu Dhabi National Insurance (ADNIC) Recruitment site. The location of this Coordinator – E-Claims Position is Abu Dhabi. Salary AED 3120.00-6500.00 Monthly approximately.

Abu Dhabi National Insurance (ADNIC) Job description related to this Coordinator – E-Claims Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Abu Dhabi National Insurance (ADNIC) Jobs Summary According to Abu Dhabi National Insurance (ADNIC) Careers Site

Hiring Organization/Agency :- Abu Dhabi National Insurance (ADNIC)

Profile Name :- Coordinator – E-Claims

Job Location :- Abu Dhabi, UAE

Job Type :- Company Jobs in UAE

Salary :- AED 3120.00-6500.00 Monthly

Job Description

Coordinator – E-Claims

839, Abu Dhabi, United Arab Emirates

Job Purpose

The job holder is responsible to receive medical claims as delegated by Supervisor; review, validate and ensure prompt action in compliance with insurance policies, set company standards, procedures and guidelines. Handle

Walk-in customers in the most efficient way, ensuring most satisfactory clarifications are provided. Handle dedicated claims authority as per limits with utmost care and accountability. Detect and analyse provider trends of abuse and escalate to immediate supervisor.

Policies and Procedures

Follow all relevant departmental policies, processes, standard operating procedures and instructions so that work is carried out in a controlled and consistent manner.

Medical Claims Processing Activities:

Receive claims from Supervisor; performs review based on “Medical Adjudication” by scrutinizing the claims thoroughly to see whether the diagnosis, investigations and prescription are justified taking into consideration the Diagnosis or Medical Condition.

Check for availability of the following during review :

  • Paper claims: Original Claim form duly filled by the Medical Practitioner carrying member’s signature, medical necessity, Original Invoices/ Original prescription of the dispensed medications(except for controlled medications), prices of the services, Pre-authorization, if any, Receipts of deductibles & Co-payment in original, Statement of Accounts, medical reports, investigation reports, ln-patient invoices with detailed breakdown of cost along with operative notes if any and discharge summary.
  • E-claims: -Medical Coding “ICD, CPT,CDT/USCLS”
  • -Medical necessity.
  • -Rules of submission / resubmission
  • -DOH/ DHA regulations
  • -Agreed tariff
  • -Pre-authorization.

Process claims as per adjudication and After the same is completed, approval  is obtained as per authority matrix before finalization.

To bring to the notice of Supervisor/ Assistant Manager the invalid claims falling in the excluded category and identified by them during assessing for appropriate action/ rejection.

To bring to the notice of Supervisor the fraud suspected claims based on audit criteria and the invalid claims falling in the excluded category and identified by them during assessing for appropriate action/ rejection

Rejection of Claims:

Claims not eligible for settlement to be rejected with appropriate denial codes

Any suspicious claims are marked for audit. Participate and contribute in the discussion for finding the best possible solutions.

Continuous Improvement:

Review periodically claim adjudication processes policies and procedures, identify cost containment methods and propose Initiatives/Innovative recommendations and solutions to address any gaps in order to keep pace with the growth of the organization

Periodic updating of Medical/Coding Knowledge in accordance with Medical claims market trends

Reports:

Provide Management with appropriate reports regarding the unit and compliance with operational policy and procedures.

Education Qualification

University Degree in Medicine/Dentistry/Pharmacy/Nursing/Paramedics

Relevant Certifications

CPC/AHIMA(Preferably)

Years & Nature of Experience   

3 to 5 years of relevant experience

Language Requirement

Full Professional Proficiency in English

How to Apply For Abu Dhabi National Insurance (ADNIC)

Candidates who want to apply for Abu Dhabi National Insurance (ADNIC) Jobs for Coordinator – E-Claims Post can fill their application form as per the information given below.

  • First of all go to the official website of Abu Dhabi National Insurance (ADNIC).
  • Then click on the option of Abu Dhabi National Insurance (ADNIC) Jobs.
  • After then will get Abu Dhabi National Insurance (ADNIC) Jobs List 2022.
  • You will be able to apply for yourself by clicking on suitable jobs.
  • You can also click on the below Direct Link to Apply for this job post.

Apply Online For Abu Dhabi National Insurance (ADNIC) Jobs


Abu Dhabi National Insurance (ADNIC) Jobs 2022 – Career Opportunity for Medical Authorization Supervisor Jobs Abu Dhabi, UAE

Best Jobs in Abu Dhabi National Insurance (ADNIC):- Abu Dhabi National Insurance (ADNIC) Careers site has published 2022-2023 Abu Dhabi National Insurance (ADNIC) Jobs notification for Medical Authorization Supervisor Position. Candidates who have Bachelor’s degree qualification in any stream with required experience eligibility can apply online through Abu Dhabi National Insurance (ADNIC) Recruitment site. The location of this Medical Authorization Supervisor Position is Abu Dhabi. Salary AED 7800.00-24500.00 Monthly approximately.

Abu Dhabi National Insurance (ADNIC) Job description related to this Medical Authorization Supervisor Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Abu Dhabi National Insurance (ADNIC) Jobs Summary According to Abu Dhabi National Insurance (ADNIC) Careers Site

Hiring Organization/Agency :- Abu Dhabi National Insurance (ADNIC)

Profile Name :- Medical Authorization Supervisor

Job Location :- Abu Dhabi, UAE

Job Type :- Company Jobs in UAE

Salary :- AED 7800.00-24500.00 Monthly

Job Description

About the job

Job Role:

The job holder is responsible for all aspects of the prior authorization process including collecting all the necessary documentation, contacting the customer/network provider for additional information and completion of the required prior authorization in order to proceed with service request. This job also requires to ensure complete, timely, and accurate identification and submission of prior and retro authorization requests.

Policies, Processes and procedures:

· Ensures the departmental adherence to all relevant policies, processes, standard operating procedures and instructions so that work is carried out in a controlled and consistent manner.

Medical Authorization Activities:

  • Reviews and analyses patient visit information to determine whether authorization are needed and understands specific criteria to appropriate secure authorization and provides clinical to support medical necessity
  • Researches patient accounts due to invalid and/or missing authorization information and corresponds with clients/customers, network providers representatives to obtain the necessary information to ensure accurate, timely and complete claims submissions
  • Ensures the timely verification of prior authorization requests with insurance policy; interprets medical information such as diseases or symptoms, and diagnostic descriptions and recommended procedures for treatment and determines if requested procedures are justified.
  • Manages and maintains all outstanding authorization requests and ensures the timely closures
  • Liaises with Officers and Medical Coding Coordinator to ensure diagnostic codes and recommended procedural codes accurately reflect and support the treatment of the disease or symptom, and to ensure that data comply with legal standards and guidelines.
  • Approves medical authorization requests (as per delegated authority) if they comply with all stipulations and forward them to the Supervisors for final approval. Forward approved medical authorization requests to the provider and ensure proper record keeping.
  • Documents eligibility, benefit and authorization information in accordance with established guidelines
  • Handle all calls from Pharmacies or follow up calls on medical authorization. Support clients/providers on any medical authorization related queries, follow ups, emails or fax. Handle all escalation, complaint calls and handling the supervisor phone and the vip iphone.
  • Identifies and reports trends and prior authorization issues relating to billing
  • Monitors the departmental activities and corresponds to inquiries in a timely manner
  • Monitors the performance of the medical authorization team

Rejection of Claims:

· Reviews the recommended rejection requests and approves along with justifications. Ensures to provide timely communication of rejection communication to the customer/network provider

Continuous Improvement:

· Reviews periodically medical claims authorization process, policies and procedures and identifies operational gaps and propose recommendations and solutions to address these gaps in order to keep pace with the growth of the organization

Reports:

Provides Management with appropriate reports regarding the unit and compliance with operational policy and procedures.

Organises and supervises the activities and work of subordinates to ensure that all work within a specific area of the activity is carried out in an efficient manner which is consistent with operating policies and procedures. Also, provide on-the-job training and constructive feedback to subordinates to support their overall development.

QUALIFICATIONS

Minimum Bachelor’s degree

RELEVANT CERTIFICATIONS

Bachelor of Medicine and Bachelor of Surgery (MBBS)

YEARS & NATURE OF EXPERIENCE

Requires 5 to 7 years of experience

How to Apply For Abu Dhabi National Insurance (ADNIC)

Candidates who want to apply for Abu Dhabi National Insurance (ADNIC) Jobs for Medical Authorization Supervisor Post can fill their application form as per the information given below.

  • First of all go to the official website of Abu Dhabi National Insurance (ADNIC).
  • Then click on the option of Abu Dhabi National Insurance (ADNIC) Jobs.
  • After then will get Abu Dhabi National Insurance (ADNIC) Jobs List 2022.
  • You will be able to apply for yourself by clicking on suitable jobs.
  • You can also click on the below Direct Link to Apply for this job post.

Apply Online For Abu Dhabi National Insurance (ADNIC) Jobs

About Abu Dhabi National Insurance (ADNIC)

Abu Dhabi National Insurance Company (ADNIC) PJSC was established in the United Arab Emirates (UAE) in 1972, ADNIC is a leading multi-line regional insurance provider with long-standing expertise in providing insurance and reinsurance services to individuals and corporates across the Middle East and North Africa (MENA) region. ADNIC is licensed by UAE Central Bank and listed on the Abu Dhabi Securities Exchange (ADX).

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