Overview
Healthcare Audit Executive Jobs in Dubai – UAE at AXA
Title: Healthcare Audit Executive
Company: AXA
Location: Dubai – UAE
Type: Contract
Category: Insurance, Finance
Description
To be responsible for performing providers AuditCampaign, and identifying unfavorable trends in providers billing, maximizeaudit findings and recovery through providing solid audit ground.
Identify the unfavorable trends in medical practice of the providers
Ensure compliance with legal and regulatory claims management, liaising with compliance and legal to ensure the fulfillment of regulatory requirements.
Liaise with other FWA Unit to develop Audit campaign on targeted providers improve and develop Audit criteria to expand the current audit activities
Support FWA analyst through clinical validation of the analysis
Report audit findings in a constructive approach to ensure best outcomes from the performed campaign
Identify areas of Gaps caused by current processes, report it for better controlled processed
Onsite File review for cases reported by the Medical Board team of possible document manipulation/ fraud
Qualifications
Proficient Knowledge of the Country’s healthcare Insurance market.
Proficient Knowledge of GCC countries healthcare providers trends and behaviors
Proficient Knowledge of the various GCC countries legislations and regulations.
Sound Medical Knowledge and claims adjudication.
Coding certification
Preferably Audit certification
Paramedic / Medical Degree
At least 3 years in a similar position
About AXAAt AXA, we support millions of people around the world by protecting them, their families, belongings, assets, businesses and their future. Present in 64 countries, AXA’s 166,000 employees and exclusive distributors provide their expertise in support of 103 million customers through four core business activities: Property & Casualty Insurance; Life & Savings; Health Insurance; and Asset Management. In a fast-evolving world, AXA anticipates change to offer services and solutions tailored to the current and future needs of its customers. We strive to lead the transformation of our industry. We are looking for talented individuals who come from varied backgrounds, think differently and want to be part of this exciting transformation by challenging the status quo so we can push AXA – a leading global brand and one of the most innovative companies in the world – onto even greater things. At AXA, we want our people to wake up every day with the drive and inspiration of our noble mission; collectively, we want to empower people to live a better a workforce of over 1,000 employees, 44 branches & retail shops region-wide, more than 1 million customers and 2015 gross written premium of over US$ 963 million, AXA is one of the largest international player in the GCC. Present in the region for more than 65 years, AXA in the Gulf offers a wide range of insurance products and services for corporate, SME and individual customers. Our business is to protect people over the long term. We emphasis on designing reliable solutions to meet the needs of our customers, manage risks in a professional way, treat our partners fairly, develop a work environment built on strong values, relationship and trust We also believe that we have a role to play in protecting the environment, supporting the communities in which we operate, and more broadly in helping to create stronger and more sustainable societies. This is part of creating a sustainable, long-term business, and becoming the preferred company for our customers, employees, and other stakeholders. AXA Gul…
