Analyst – Insurance Operations
Company Name: | Marsh & McLennan |
Employment Type: | Full Time |
Location: | Dubai |
Experience: | 3-5 years |
Degree: | Bachelor |
Gender: | Any |
Age: | Any |
Nationality: | Any |
Salary: | Unspecified |
No. Of Vacancies: | 1 |
Job Description: |
Handling member queries related to benefits, insurer app / portals Handling reimbursement Claim queries and pre-approvals Contentious claims management Monitoring claims TAT’s Dedicated claims support, query resolution and concierge service for the Sr Management – this is very important – Family, CEOs, Directors and their dependents etc. Managing ex gratia claims settlement Case management (Home country or high cost claims support) Working with 20+ entities HR on the collation of renewal data Activation of medical cards and policy Medical insurance certificates for Travel or Visa etc. on request basis Issuance of member handbooks at renewal Ensure accuracy on policy documentation. Preparing the communication roll out to be circulated to all members Adhoc projects like Covid, PCR, Vaccinations etc Individual treatment support – like negotiating tariff with hospitals /clinics for family members of employees – who are not under insurance Adhoc Projects like Covid, Regional support whenever needed, market engagement like key Seminars/webinars/Awards nominations and the like Operations, Addition Deletion and Invoicing: Policy Administration : Preparing monthly reports and invoices Monthly census reconciliation between Broker Portal and insurer platform to ensure consistency of data Reconciliation of the statement of account on a quarterly basis Account Management : Review the insurer service level dashboards every quarter & report the same Monthly Raw claims data Quarterly claims analytics and claims control solutions Drive Teleconsultation solutions, chronic management schemes and any other claims analytics based solutions for cost containment Relationship management with Senior executives, PRO, Key officers of some top hospitals (like the Head doctors, client/marketing directors) Requirements: 3-5 years of experience Academic Qualifications : 4 years Bachelor’s Degree, preferably BS in Nursing, Professional Experience : Client/Customer Servicing, Group Medical & Life Operations Industry Experience: Group Life & Medical Insurance Background in UAE is a must |