Medical Reviewer – Lobo Management

One of our clients -an international medical TPA requires qualified doctors in this role.
The selected candidate will be expected to evaluate claims (Network & Direct), provide authorizations for insured members (in-patient & outpatient) and handle calls relating to medical cases efficiently. He will assess risk exposure of members in line with medical underwriting policies, manage queries from providers, Insurance Companies and insured members relating to claims processing, evaluation and administration. Additionally, the role holder will provide medical guidance to the Claims Department staff and assistance in ICD coding. As part of client Management, you may be expected to attend hospital visits to investigate on claims to minimize fraud and abuse.

Job Details

Date Posted: 2017-10-02
Job Location: Dubai, United Arab Emirates
Job Role: Medical, Healthcare, and Nursing
Company Industry: Other

Preferred Candidate

Career Level: Mid Career

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