Daman Health Insurance
Specialist, Medical Audit
š¦šŖ Abu Dhabi, UAEš¢ On-site
Medical AuditHealthcare AuditingFraud DetectionComplianceClaims Analysis
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To facilitate and execute medical investigation and audit activities by analyzing medical claims, detecting potential fraud, waste, and abuse, and ensuring compliance with policies, regulations, and best practices in healthcare auditing to optimize cost efficiency and uphold the integrity of Damanās medical reimbursement processes.
Requirements
- ā¢Execute medical investigation and audit activities
- ā¢Analyze medical claims
- ā¢Detect potential fraud, waste, and abuse
- ā¢Ensure compliance with policies, regulations, and best practices
Responsibilities
- ā¢Facilitate medical investigation and audit activities
- ā¢Optimize cost efficiency
- ā¢Uphold the integrity of medical reimbursement processes
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