Claims Administrator - Direct Billing

DUTIES AND RESPONSIBILITIES Summary: Process and follow up healthcare claims as well as determining the payable amount of healthcare benefits for the assigned portfolio. Tasks: ● Check eligibility of the insured and dependents ● Check premium status where necessary ● Check claims as per policy requirements ● Update database with information received ● Record claim reimbursement notices ● Forward payment notices to Claims Manager/Senior Administrator for validation ● Check Providers agreed tariffs in case of direct billing claims ● Capture the medical services with the adequate codes ● Forward high amount claims to the medical team for evaluation QUALIFICATIONS Education: ● Bachelor's degree in business, accounting or finance, insurance designation, or medical field preferred but not required Computer Skills: ● Microsoft office knowledge is a must Languages: ● English, French & Arabic mandatory Necessary Skills & Abilities: ● Detail oriented and committed to a high degree of accuracy ● Ability to work within a team environment ● Good communication skills (oral & written) ● Promptness and efficiency ● Organization skills ● Customer service skills ● Ability to listen and reassure customers Send your Resume to: rim.dhamer@msh-intl.com / marwa.mardani@mash-intl.com