Assistant Manager Medical Claims - UAE National I Dubai | Financial Services| Orient Insurance PJSC

Job Requisition ID: 182373 About Al-Futtaim Established in the 1930s, Al-Futtaim is one of the most diversified and progressive privately held regional businesses, headquartered in Dubai. Operating across more than 20 countries, the Group spans automotive, financial services, real estate, retail and health. With more than 40,000 employees, Al-Futtaim represents over 200 of the world’s most recognised brands, including Toyota, Lexus, IKEA, ACE and Marks & Spencer. Driven by its purpose to enrich lives and elevate communities, Al-Futtaim focuses on digital innovation, AI, sustainable growth and strategic partnerships, creating long-term value for customers, communities and partners while building a responsible legacy for future generations. Job Description: We are seeking a motivated and detail-oriented Medical Claims Executive (UAE National) to join our Medical Claims team. This role is ideal for fresh graduates from medical and healthcare-related disciplines who are interested in building a long-term career within the insurance industry. The successful candidate will be responsible for reviewing, assessing, and processing medical claims in accordance with company policies, medical guidelines, and regulatory requirements. What you will do - Review and process medical insurance claims accurately and within agreed service standards. - Verify claim documentation, medical reports, treatment records, and supporting documents. - Assess claims eligibility based on policy coverage, exclusions, and benefits. - Coordinate with healthcare providers, hospitals, clinics, and internal stakeholders to obtain additional information when required. - Ensure compliance with company procedures, medical protocols, and regulatory requirements. - Identify discrepancies and escalate complex cases for further review. - Maintain accurate records and updates within the claims management system. - Support customer and provider inquiries related to claim status and documentation requirements. - Contribute to continuous improvement initiatives aimed at enhancing claims efficiency and customer experience. Required Skills to be successful - UAE National with Family Book (Emirati) – Mandatory - Bachelor's Degree in: - MBBS (Medicine) - Pharmacy - Medical Laboratory Sciences - Nursing - Biomedical Sciences - Or any other medical or healthcare-related discipline Experience - Fresh graduates are encouraged to apply. - Previous internship or healthcare-related experience will be an advantage but is not mandatory. - Candidates must demonstrate a strong interest in pursuing a career within the insurance industry. What equips you for the role (Skills Required) - Good understanding of medical terminology and healthcare concepts. - Strong analytical and problem-solving skills. - Excellent verbal and written communication skills. - Attention to detail and accuracy. - Ability to work under pressure and manage high volumes of work effectively. - Strong organizational and time management skills. - Customer-focused and service-oriented mindset. - Proficiency in Microsoft Office applications. - Ability to work both independently and collaboratively within a team. About Orient Insurance PJSC Orient Insurance Company commenced operations in 1982 as a part of the reputed Al-Futtaim Group and has since recorded a progressively steady growth. The Company is counted among the leaders in the UAE insurance market. Orient Insurance Company has a paid-up capital of AED 500 Million which is the highest in the insurance industry in UAE. With head office in Dubai, the company serves its clientele through an extensive branch network in Jebel Ali, Abu Dhabi, Al Ain, Sharjah and Ras Al Khaimah in UAE, Muscat in Sultanate of Oman, Riyadh in Kingdom of Saudi Arabia and Bahrain.

UAE National with Family Book (Emirati) – Mandatory. Bachelor's Degree in MBBS (Medicine), Pharmacy, Medical Laboratory Sciences, Nursing, Biomedical Sciences, or any other medical or healthcare-related discipline. Fresh graduates are encouraged to apply. Previous internship or healthcare-related experience advantageous but not mandatory. Strong interest in pursuing a career within the insurance industry.

Review and process medical insurance claims accurately and within agreed service standards. Verify claim documentation, medical reports, treatment records, and supporting documents. Assess claims eligibility based on policy coverage, exclusions, and benefits. Coordinate with healthcare providers, hospitals, clinics, and internal stakeholders to obtain additional information when required. Ensure compliance with company procedures, medical protocols, and regulatory requirements. Identify discrepancies and escalate complex cases for further review. Maintain accurate records and updates within the claims management system. Support customer and provider inquiries related to claim status and documentation requirements. Contribute to continuous improvement initiatives aimed at enhancing claims efficiency and customer experience.