Claims Assessor

We are seeking a Claims Assessor to join our team in Dubai. As a Claims Assessor, you will be responsible for providing excellent customer service to our members, making customer-focused decisions, and ensuring accurate processing of claims.

Responsibilities:

• Provide excellent customer service to our members
• Make customer-focused decisions based on effective decision-making skills
• Input claims into the computer system with a high degree of accuracy
• Action any claim-related queries in line with Bupa Global policy and style
• Obtain all necessary information on claims for complete processing
• Respond to incoming correspondence and queries from internal departments
• Ensure correct interpretation of Bupa International's policy and rules
• Contribute to the continuous development of the claims process
• Suspend claims that require further investigation
• Log claims on the system under correct members' registrations
• Recognise and challenge possible fraudulent information
• Comply with regulatory requirements at all times
• Work on a shift basis according to business needs

What you'll bring:

• Strong background in the global health insurance sector or relevant transferable expertise
• At least 2 years of experience in a claims role
• A medical degree is mandatory
• Demonstrated ability to meet and exceed productivity and quality performance targets
• Customer-focused mindset with a commitment to delivering high-quality service
• Exceptional interpersonal, communication, and influencing skills
• Prior experience in delivering customer service
• Proven background in healthcare-related claims assessment