Bupa Global
Health Insurance
ClaimsPaymentIntegrityConsultant
“Claims Payment Integrity Consultant at Bupa Global. Skills: Payment integrity, Provider validation, Claims processing. Review and sign off new bank account information. Review provider information for new providers”
What You'll Achieve.
Mitigate payment of false claims; Ensure payments made to correct payee; Support commercial goals
Industry & Context.
Good problem solving skills; Prioritisation skills
What They're Looking For.
Must Have
Graduate level with a medical background, Good spoken and written Arabic and English, Computer and numerical skills, Good communicator, Ability to work well alone, Ability to work as part of a team, Good understanding of ‘treating customers fairly’, Delivering compliant services within a regulatory environment
Nice to Have
Multilingual skills
What You'll Do.
Review and sign off new bank account information
Review provider information for new providers
Add new and valid providers to SWAN
Review out of network providers
Refer none valid providers
Respond to customer replies
Validate potential fraudulent behaviour
Contribute to cost containment
Maintain and update customer records
Update records when customer makes contact
How You'll Work.
Team & Collaboration
Engaging with stakeholders; Working closely with Claims Fraud Validation Officers
Communication Scope
Good communicator
Applying for this Claims Payment Integrity Consultant role?
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