Pak Qatar Family Takaful Company Jobs Medical Services Officer
Pak Qatar Family Takaful Company Jobs Medical Services Officer:
Organization: Pak Qatar Family Takaful Company
Pak-Qatar Family Takaful Company is seeking qualified and energetic individual to join our Medical Services department in Islamabad
Qualification & Experience Required:
Bachelors (preferably in medical sciences, nursing or PharmD)
Minimum 2-4 years of experience in medical claims evaluation, healthcare, or insurance/takaful claims processing
Skills Required
- Strong understanding of healthcare systems
- Have good medical claims knowledge
- Knowledge of industry practices, processes and products
- High level of accuracy in evaluating and processing claims to avoid errors and discrepancies
- Good communication skills (verbal and written)
- Ability to manage multiple claims efficiently and meet deadlines
Job Role
· Review and evaluate medical claims to ensure compliance with policy terms and coverage limits
· Examine medical records, invoices, and diagnostic reports to confirm the validity and completeness of each claim
· Verify claim eligibility by cross-referencing with policy coverage and exclusions, ensuring each claim aligns with the policyholder’s benefits
· Liaise with policyholders and healthcare providers, and internal teams to clarify information, resolve discrepancies, and ensure a smooth claim process
· Ability to work closely with cross-functional teams and with panel hospital/clients
· Create efficiency in claims process through automation
· Reconciliation of accounts to get NOCs from Panel Hospitals
Pak Qatar Family Takaful Company Jobs Medical Services Officer
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