# Medical Coverage Specialist

**Company**: Cigna
**Location**: Dubai, UAE Dubai - Nas Neuron
**Experience**: mid
**Job type**: full-time
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/UAE-Dubai---Nas-Neuron/Claims-Associate-Analyst_26013945?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/medical-coverage-specialist-80d76653-347/

## Description

The Medical Coverage Specialist serves providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests, and maintaining databases.

Responsibilities and Duties:

- Issue online and verbal authorizations based on member coverage and medical justification

- Assist queries from providers and payers via phone calls or emails

- Maintain files for authorizations and other reports

- Assess and process claims in line with policy coverage and medical necessity

- Be fully versed with medical insurance policies for various groups and beneficiaries

- Assist in training colleagues and sharing knowledge

- Accurately assess eligibility within UAE guidelines and policy boundaries

- Monitor and maintain the claims processing and adjudicating cycle in NHS operational software systems

- Establish strategies and implement effective parameters for solving queries

- Take a lead role in ensuring assigned tasks are completed within allocated time frames

- Ensure proper communication and implementation of new formats, training, and processing rules

- Enter and process claims in NHS operational software systems

- Take initiatives to maximize team efficiency

- Maintain qualitative and quantitative claims measures

- Ensure adherence to predefined TATs for claims and pre-approvals

Knowledge, Skills, and Experience:

- University degree in any discipline of Medical/Para-medical specialization from a reputable university

- 1-2 years of healthcare/hospital experience in departments such as Surgery, ICU, or GP

- 1-2 years of work experience in the insurance industry (preferable but not mandatory)

- Excellent oral and written communication skills

- Computer literacy

- Excellent command of English; Arabic is a definite plus

- Team player with an aptitude for customer service

- Highly decisive with outstanding logic and reasoning skills

- Tactful and discreet when dealing with providers or payers; able to handle confidential information

- Ability to work under pressure and meet tight deadlines and varying work schedules

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## Skills

### Required
- medical insurance policies
- claims processing
- adjudication
- NHS software systems
- communication skills
- customer service

### Nice to have
- Arabic

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Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/UAE-Dubai---Nas-Neuron/Claims-Associate-Analyst_26013945?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)