Senior Officer Insurance Services UAE National

Overview

Facility Overview

M42 delivers comprehensive healthcare services across the full continuum of care; from primary care to advanced specialty treatments. Leveraging cutting-edge health technologies and precision medicine, we ensure the highest standards of effectiveness, efficiency, and patient-centered outcomes. With a global presence spanning more than 480 facilities in 27 countries and a dedicated workforce of over 20,000 professionals, M42 is uniquely positioned to redefine the future of healthcare on a global scale.

Imperial College London Diabetes & Endocrine Centre (ICLDEC) is a global leader in diabetes and endocrine treatment, education and research. Established in 2006 by Mubadala in partnership with Restricted the UK’s Imperial College London, the Centre specializes in treating all types of diabetes and endocrine disorders, as well as focusing on diabetes research, training, and public health awareness. The Centre, which operates four branches across Abu Dhabi, Al Ain and Al Dhafra, has gained international recognition for its holistic approach to the treatment of diabetes and related complications that enables patients to receive the full spectrum of care in one place.

Role Overview

The Senior Officer, Insurance Services reports directly to the Supervisor, Insurance Services and plays a key role in supporting both the finance and insurance teams in their day-to-day operations. This role involves a wide range of responsibilities, including but not limited to handling insurance authorizations, claim submissions and resubmissions, and processing medical claims. The Senior Officer ensures that all insurance-related activities are executed in full alignment with M42’s established procedures and regulatory guidelines. With a strong focus on accuracy, compliance, and collaboration, the Senior Officer contributes significantly to the efficiency of insurance workflows and the overall quality of patient care.

Responsibilities

• Ensure accurate processing of insurance and corporate claims in line with reimbursement agreements
• Coordinate with insurance providers for eligibility checks, approvals, and reconciliation
• Support verification, preauthorization, and benefit entry across departments
• Communicate billing and insurance guidelines to staff and physicians
• Maintain organized records and assist with payment tracking and audits
• Monitor receivables and manage outstanding balances
• Analyze claim adjustments and ensure compliance with billing standards
• Collaborate with billing clerks, utilization nurses, and supervisors
• Participate in staff training and contribute to process improvements
  
  

• Minimum 3 years of hands-on experience in handling pre-approvals, payer auditing, submission or resubmission and Medical Coding for DOH Claims
• CPC or CCS Certification
• Familiar with DOH claims adjudication guidelines