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Thursday, April 27, 2023

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General Insurance (Medical)

 

 

Customer Service Executive

General Insurance Division (Medical)

We are looking for an experienced Customer Service Executive to join our General Insurance Team who is experienced in Individual Medical Insurance.

Based in our Dubai Office, you will provide medical insurance solutions along with administrative support to our customers and our financial advisers by utilising excellent and in-depth knowledge of the products we distribute and internal /external policies and procedures.
• Handle and resolve queries raised by financial advisers and customers
• Provide our customers with insurance solutions that fit their needs (from quotation to policy implementation)
• Service a portfolio of existing customers (policy renewal, claims, endorsement, premium payment collection…)
• Interact on a regular basis with our insurance partners and our customers to ensure best service
• Other Personal Lines Insurance experience is an advantage
• Maintain client and policy data within our internal system
• Demonstrate a “can do” and professional attitude

What we are looking for:
• Prior experience in a customer servicing role in the medical insurance industry, underwriting, policy implementation. claim management role.
• Ideally no less than 5 years’ experience
• Familiar with insurance providers operating within the local market, their products and processes
• Able to work as part of a team
• Excellent communication skills both verbal and written
• Be able to multi-task and prioritise workload
• Fluent in English
• Proficiency with Excel, Word and Outlook
• CII is a plus

Nexus offers an attractive salary package including medical and group life insurance, career advancement, modern and convenient offices based in Downtown Dubai

 

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Life Insurance Officer

 

 We are looking for the post of “Life Insurance Consultant ” and “Senior Life Insurance Consultant” for Retail Sales of “Life Insurance” for our Sharjah Branch.

Young , energetic candidates who would like to have extraordinary earning and excellent career in life insurance can apply.

Preferred Candidates: Candidates who have a positive attitude towards earning and fulfilling the dreams with unlimited earning opportunity in a long term career.

Job Requirement:
• Sales/telesales Experience in Any Field,
• Life insurance Experience would be an added advantage
• Good communication skills
• Good convincing skills
• Fresher can also apply.
• Candidates on spouse visa can also apply.

Our Offer :
• Employment Company Visa, Health and life insurance as per the company standard
• Attractive incentives
• Health/Medical Benefit.
• Annual Leave

Job Type: Full-time

Job Type: Full-time

Salary: AED2,000.00 - AED3,000.00 per month

Ability to commute/relocate:
• Dubai: Reliably commute or planning to relocate before starting work (Required)

Experience:
• Sales: 1 year (Required

 

 

 

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Executive Insurance

 

 Executive Insurance Aster Hospital, Al Qusais (Br. Of Aster DM Healthcare FZC)

JOB DESCRIPTION

Claim collection and submission
• Track and update claim form from the assigned pharmacies
• Conducts daily claims audit and make timely corrections
• Prepares reconciliation of internal branch transfer of assigned pharmacies
• Administers total insurance operations
• Updates the resubmitted rejections and the settlements details of claims in the system on a monthly basis
• Submits all documents (claims related) for all pharmacies in all modes ( Paper claims, eclaims and EDI) with supporting documents within agreed timeline per month
• Lists insurance companies and record discount rates

Daily activities
• Reviews claims to make sure that billing requirements are met
• Updates accounts as necessary, answers inquiries, and makes recommendations for resolution
• Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
• Performs data entry and filing to record patient and insurance data

E- claims submission
• Monitors timely online submission by pharmacies
• Follow up with pharmacies for missing documents to Re submit rejected e-claim/paper claim
• Validates and submit e-claims on a monthly basis

Job interactions
• Coordinates with pharmacies for follow up of insurance submission and resubmission
• Works closely with insurance companies for resubmission follow up of claims

Minimum Experience
• 0 – 2 Years

ABOUT US

Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands.

For more details please visit our website https://www.asterdmhealthcare.com/

ABOUT THE TEAM

Aster Hospitals, one of the largest private healthcare service providers in GCC, aim to make a difference with our patient-centric approach to medical care and an inherent emphasis on clinical excellence. Currently, Aster Hospitals are located in 4 countries in the GCC specializing in primary, secondary and tertiary healthcare.

These include Aster Hospitals (Mankhool and Al Qusais) in UAE, Aster Al Raffah Hospitals (Muscat, Sohar and Ibri) in Oman, Aster Hospital (Doha) in Qatar and Aster Sanad Hospital (Riyadh) in Kingdom of Saudi Arabia delivering on a simple yet strong promise to its people: “We’ll treat you well.” Overall, Aster DM Healthcare Group has a strong presence in GCC and is an emerging healthcare provider in India with 25 hospitals, 116 clinics and 238 pharmacies manned by 20,500+ workforce (including approx. 1250 doctors on fee for service basis) from across the geographies

 

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Insurance Manager

 

 

 Insurance Manager (UAE Nationals only)

Description:

Job Summary

To lead and execute the insurance and risk management activities, in close proximity with the Director Insurance and ensure that the organization’s insurance risk management policies and strategies are in alignment with the strategic goals of the organization and internal operational requirement

Roles & Responsibilities

Strategic

1. Evaluate company insurance programs, identify what type of insurance is to be purchased and ensure coverage and limits are consistent with exposure. 2. Work in close coordination with the Director Insurance to develop effective risk identification, risk transfer, risk mitigation and settlement policies covering all operating units of the group

Operational

3. Coordinate with the BUs in understanding their risk exposure and suggest mechanisms to improve their risk profile 4. Provide different types of insurance including people, health, material, political and trade credit insurance for the organization

5. Ensure that the insurance policy purchased has been issued as per the agreed terms and conditions

6. Manage annual policy renewals. Responsible for timely and cost effective implementation of Corporate Insurance policies and initiatives across all countries or IFFCO operations7. Coordinate proper distribution of insurance certificates and interpretation of contract language with the insurance vendors

8. Ensure correctness of information, quote slip preparation and document checking for the claims process 9. Manage relationships with third party service providers including brokers, insurers and other mTPAs. Develop effective relationship with Insurers, intermediaries and surveyors

10. Liaise with insurance brokers, advisors, insurance companies and any third party administrators and obtain settlement cheques in a timely, manner

11. Ensure 100% claim settlement within agreed norms by closely coordinating with the insurance vendors

12. Ensure timely receipt of invoices and release of payments by liaising with other units / SSC

13. Checkfor invoices and record the same in proper hard and soft files

14. Oversee the TPA handling of employees’ insurance claims, and perform periodic review/reconciliation of claims

15. Maintain and update the asset, premium and clam records and reconcile accounts after claims settlement on a regular basis

16. Follow-up with surveyors and ensure that the reports are finalized in a timely manner

17. Issue monthly / quarterly reports on claims with settlement and deductible

18. Improve processes for information gathering and data analysis with respect to sums assured, premiums and claims

19. Ensure compliance with regulatory requirements and group policies

20. Assure that the internal audit score achieved is better than the last audit

21. Support the Director Insurance in preparation of the insurance budget and premium allocations for the various business units

22.Support the Director Insurance in ensuring that IFFCO has adequate external insurance protection for its business needs. Provide support in identifying new areas of business risk as they arise and ensuring appropriate riskmtransfer mechanisms are in place

KPIs

1. Timely insurance of assets and claim of insurance 2. Risk Management and mitigation – Improving risk profile of BUs

3. Appropriate internal audit score

4. Number of Insurance agencies identified

5. Cost effective insurance finalization

6. % adherence to claim settlement SLAs

7. Internal customer satisfaction

Work experience requirement

Minimum of 7+ years of related experience, preferably in a related industry

Qualification

Master’s degree in finance with certification in Insurance management/ ERM • CPCU or ARM will be added advantage

Competencies

Communicating effectively

Business Unit: Corporate-Human Resources (4199)

Business Group

 

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