Job Overview
Job Purpose
The Claims Adjuster handles the auditing and adjustment of claims received by GlobeMed Iraq.
Duties & Responsibilities
- Receive claims from providers
- Audit claims
- Issue “examination of invoice” report to detect and correct flagged discrepancies
- Validate claims
- Organize claims by each provider and then, upon closing, by guarantors and groups
- Issue bordereaux concerning reimbursement and general claims and send them to companies
- Follow up on pending and un-received claims
- Assist in processing different types of claims when needed
- Assist risk-carriers when needed
- Detect & Report cases of Fraud and abuse
Skills/Qualifications
- Strong verbal and written communication abilities
- Excellent organizational and time management skills
- Proficient in English and Arabic (Kurdish is a plus)
- Skilled in Microsoft Office Suite
- Familiar with medical terminology
- In-depth understanding of the claims cycle
- Flexible and adaptable
- Self-motivated and proactive
- Detail-oriented with strong analytical skills
- Patient and able to work under pressure
Education
Bachelor’s degree in Business Administration or a related field
