Home Medical Claims Officer – Health Insurance / TPA

Medical Claims Officer – Health Insurance / TPA

0

Confidential

Job Overview

A healthcare and health insurance organisation in the UAE is recruiting Medical Claims Officers to support claims assessment, pre-authorisation and third-party administrator operations. Applicants with an MBBS or BHMS qualification are invited to apply, including fresh graduates. Previous exposure to medical claims, insurance approvals or TPA work is preferred but is not stated as essential. The role requires careful review of clinical records and the ability to assess treatment against medical information and policy requirements. Candidates must currently live in the UAE and be prepared to work rotational shifts. Immediate availability, or a notice period of no more than 30 days, is preferred.

Key Responsibilities

  • Review medical claims and assess treatment eligibility using clinical documents and applicable policy requirements.
  • Process pre-authorisation requests and coordinate approval steps with the relevant teams.
  • Examine medical records and check that submitted information is complete and suitable for claims evaluation.
  • Coordinate with hospitals, clinics, healthcare professionals, insurance companies and internal colleagues.
  • Respond to claims-related questions and maintain clear records of decisions and supporting documents.
  • Follow established health insurance procedures and operational guidelines when handling each case.

Requirements and Skills

  • Hold an MBBS or BHMS qualification.
  • Be currently resident in the UAE.
  • Be willing to work on rotational shifts.
  • Have good communication, analytical and documentation skills.
  • Be able to review medical records and clinical information carefully.
  • Fresh graduates may apply; experience in claims, approvals or TPA operations is an advantage.
  • Immediate joiners or candidates with a notice period of 30 days or less are preferred.

Qualifications

The required professional qualification is MBBS or BHMS. Candidates should be comfortable working with clinical documentation and understanding medical terminology, treatment eligibility and insurance coverage considerations.

Employment Details

Full-time opportunity in the UAE. The stated monthly salary range is AED 6,000–12,000. The employer welcomes fresh graduates as well as experienced applicants. Rotational shifts are part of the role, and UAE residence is required. Applications should be sent to the address listed in the application field.

To apply for this job email your details to hr@vgetter.ae

Beware of Job Scams and Fraud!
Never pay anyone for a job application, interview, recruitment process, visa processing, or job offer. Legitimate employers and recruitment agencies should not ask candidates to make payments in exchange for employment.
Disclaimer:
  • GCCRecruitments.com is a job information platform sharing employment opportunities across the GCC region.
  • We make reasonable efforts to publish accurate and genuine job opportunities from companies and trusted sources.
  • However, we cannot guarantee the authenticity, availability, or accuracy of every job posting, as some information comes from external sources.
  • GCCRecruitments.com is not an employer or recruitment agency and does not participate in hiring, interviews, or candidate selection.
  • We never charge job seekers any fees for applying to jobs listed on our website. Never send money to anyone claiming to represent us or an employer.
  • Candidates should verify job details and employer information through official sources before sharing personal information or attending an interview.
  • We are not responsible for fraud, financial loss, or misleading information involving employers, recruiters, or third parties.
  • Found a suspicious listing? Report This Job so we can review it.