What Jobs are available for Claims Processing in Bahrain?
Showing 919 Claims Processing jobs in Bahrain
Senior Claims Adjuster - Remote Processing
Posted 11 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate, evaluate, and settle complex insurance claims.
- Determine coverage, liability, and damages for various claim types.
- Negotiate settlements with claimants and legal representatives.
- Authorize payments within designated authority limits.
- Maintain accurate and detailed claim files and documentation.
- Communicate effectively with policyholders, agents, and internal stakeholders.
- Adhere to all regulatory requirements and company claims handling guidelines.
- Mentor and train junior claims adjusters.
Qualifications:
- Bachelor's degree in Business, Finance, or a related field.
- 5+ years of experience as a claims adjuster, with a focus on complex claims.
- Strong knowledge of insurance policies, legal principles, and claims procedures.
- Excellent analytical, negotiation, and problem-solving skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Exceptional written and verbal communication skills for remote interaction.
- Ability to work independently and manage a high-volume caseload remotely.
- Relevant adjusting licenses and certifications are a plus.
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            Remote Health Insurance Claims Analyst
Posted 8 days ago
Job Viewed
Job Description
- Reviewing and processing health insurance claims accurately and efficiently.
- Verifying patient eligibility, policy coverage, and benefits.
- Identifying and resolving claim discrepancies and errors.
- Authorizing or denying claims based on policy guidelines and medical necessity.
- Investigating complex or potentially fraudulent claims.
- Communicating with healthcare providers, policyholders, and internal teams.
- Maintaining comprehensive and accurate claim documentation.
- Ensuring compliance with all relevant regulations and company policies.
- Staying updated on changes in insurance regulations and medical coding.
- High school diploma or equivalent; Associate's or Bachelor's degree preferred.
- Proven experience as a Health Insurance Claims Analyst or in a similar role.
- In-depth knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
- Familiarity with various health insurance plans and claims processing systems.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Effective written and verbal communication skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage workload effectively in a remote setting.
- Understanding of HIPAA regulations and data privacy.
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            Senior Claims Analyst
Posted 4 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate, evaluate, and settle complex insurance claims in accordance with policy provisions and legal requirements.
- Determine coverage, liability, and damages for all assigned claims.
- Communicate effectively with policyholders, claimants, witnesses, and other relevant parties.
- Negotiate settlements within authorized limits.
- Prepare detailed reports on claim status, findings, and recommendations.
- Mentor and provide technical guidance to junior claims staff.
- Identify opportunities for process improvements and cost containment.
- Ensure compliance with regulatory requirements and company standards.
- Maintain accurate and comprehensive claim files.
- Collaborate with internal departments and external stakeholders.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 5 years of experience in claims handling within the insurance industry.
- Proven experience with complex claims management.
- Excellent analytical, problem-solving, and decision-making skills.
- Strong negotiation and communication abilities.
- Proficiency in claims management software.
- Understanding of insurance principles and regulations.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant professional certifications (e.g., CPCU) are a plus.
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            Senior Claims Analyst
Posted 25 days ago
Job Viewed
Job Description
Responsibilities:
- Review and analyze complex insurance claims from inception to closure.
- Verify policy coverage, interpret policy language, and determine claim validity.
- Conduct thorough investigations, gather evidence, and document findings.
- Communicate claim status, decisions, and requirements to all relevant parties.
- Identify and report suspicious claims for fraud investigation.
- Collaborate with underwriting, legal, and other departments to resolve claim issues.
- Mentor and guide junior claims handlers, providing support and expertise.
- Contribute to the development and refinement of claims handling best practices and procedures.
- Maintain accurate and up-to-date claim files in the system.
- Ensure compliance with all applicable laws, regulations, and company policies.
- Bachelor's degree in Insurance, Business Administration, Finance, or a related field.
- Minimum of 5 years of experience in claims analysis, preferably in (Specific Insurance Type, e.g., Property & Casualty, Health).
- In-depth knowledge of insurance principles, claims procedures, and legal/regulatory frameworks.
- Proven analytical and problem-solving skills with a strong attention to detail.
- Excellent written and verbal communication skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
- Strong ethical standards and commitment to confidentiality.
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            Senior Claims Analyst
Posted 26 days ago
Job Viewed
Job Description
Responsibilities:
- Analyze and assess incoming insurance claims, ensuring compliance with policy terms and conditions.
- Investigate and gather necessary information, including policy details, incident reports, and third-party statements.
- Determine claim validity and coverage, making well-reasoned decisions on settlements.
- Communicate effectively with policyholders, claimants, legal representatives, and internal stakeholders regarding claim status and decisions.
- Negotiate claim settlements within established guidelines, striving for fair and equitable outcomes.
- Maintain accurate and comprehensive claim files, documenting all actions taken and communications.
- Identify potential fraud indicators and escalate suspicious cases for further investigation.
- Contribute to the development and improvement of claims processing procedures and best practices.
- Mentor and provide guidance to junior claims adjusters as needed.
- Stay abreast of industry trends, regulatory changes, and best practices in claims management.
Qualifications:
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5 years of experience in insurance claims handling, with a strong focus on complex claims.
- In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
- Excellent analytical, problem-solving, and critical-thinking skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
- Relevant professional certifications (e.g., AIC, CPCU) are a plus.
This is a fantastic opportunity to advance your career within a forward-thinking company that values its employees and their contributions. Work from the comfort of your home office in **Salmabad, Northern, BH**, and become an integral part of our remote team.
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            Lead Claims Analyst - Insurance
Posted 23 days ago
Job Viewed
Job Description
Responsibilities:
- Manage and supervise a team of claims analysts, providing guidance and support.
- Oversee the processing and adjudication of complex insurance claims across multiple lines of business.
- Develop and refine claims handling procedures and best practices.
- Analyze claim data to identify trends, potential fraud, and opportunities for cost savings.
- Ensure compliance with all relevant insurance regulations and company policies.
- Handle escalated claims and provide expert resolution.
- Collaborate with legal counsel on litigated claims.
- Conduct quality assurance reviews of claims files and adjuster performance.
- Develop and deliver training programs for claims personnel.
- Bachelor's degree in Business Administration, Finance, or a related field.
- 5+ years of progressive experience in insurance claims management.
- Proven leadership and team management skills.
- In-depth knowledge of insurance products, claims processes, and regulatory requirements.
- Strong analytical and problem-solving abilities with keen attention to detail.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and systems.
- Relevant professional certifications (e.g., AIC, CPCU) are highly desirable.
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            Senior Claims Analyst - Remote
Posted 15 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate, evaluate, and settle complex insurance claims in accordance with policy provisions and regulatory guidelines.
- Review claim files, analyze coverage, and determine liability and damages.
- Communicate effectively with policyholders, claimants, witnesses, and other relevant parties to gather information and negotiate settlements.
- Manage a caseload of claims from inception to closure, ensuring timely and accurate resolution.
- Identify potential fraud and take appropriate action.
- Interpret and apply policy language to specific claim scenarios.
- Prepare detailed reports and documentation for claim files and management review.
- Provide guidance and mentorship to junior claims adjusters and analysts.
- Collaborate with internal departments, such as legal and underwriting, to resolve complex claim issues.
- Contribute to the development and implementation of claims best practices and process improvements.
- Stay abreast of industry trends, regulatory changes, and emerging risks.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 5-7 years of experience in insurance claims handling, with a focus on complex claims.
- In-depth knowledge of insurance principles, policies, and procedures.
- Strong analytical, problem-solving, and decision-making skills.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage time effectively in a remote environment.
- Professional certifications (e.g., CPCU, AIC) are a plus.
- Fluency in Arabic is advantageous.
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Remote Senior Claims Analyst
Posted 16 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate, evaluate, and adjudicate complex insurance claims from initial filing to final settlement, ensuring compliance with policy terms and conditions.
- Conduct thorough reviews of claim documentation, police reports, medical records, and other relevant evidence to determine coverage and liability.
- Communicate effectively with policyholders, claimants, legal representatives, and other parties involved in the claims process.
- Negotiate claim settlements within authorized limits, employing strong analytical and persuasive skills.
- Identify potential fraud, waste, and abuse, and initiate appropriate investigation procedures.
- Maintain accurate and detailed records of all claim activities, decisions, and communications in the claims management system.
- Stay informed about industry trends, regulatory changes, and best practices in claims handling.
- Provide guidance and mentorship to junior claims adjusters and analysts.
- Assist in the development and refinement of claims handling procedures and best practices.
- Analyze claim data to identify trends and recommend process improvements.
- Ensure timely and equitable resolution of all assigned claims.
- Prepare detailed reports on claim status, reserves, and settlement outcomes.
- Collaborate with underwriting and actuarial departments on emerging claims issues.
- Champion the company's commitment to exceptional customer service throughout the claims lifecycle.
- Bachelor's degree in Business Administration, Finance, or a related field; relevant professional certifications (e.g., AIC, CPCU) are highly advantageous.
- Minimum of 5 years of progressive experience in insurance claims analysis and adjustment, with a strong focus on complex claims.
- In-depth knowledge of various insurance products (e.g., property, casualty, liability) and their respective claims processes.
- Excellent understanding of insurance law, regulations, and ethical claims handling practices.
- Proficiency in using claims management software and standard office applications (Microsoft Office Suite, Google Workspace).
- Exceptional analytical, problem-solving, and decision-making skills.
- Strong negotiation and communication abilities, both written and verbal.
- Proven ability to manage a caseload effectively, prioritize tasks, and meet deadlines in a remote environment.
- High level of integrity, attention to detail, and commitment to fairness.
- Ability to work independently with minimal supervision and as part of a collaborative team.
- Experience with claims litigation and subrogation is a plus.
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            Senior Claims Analyst - Cyber Insurance
Posted 12 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate, analyze, and adjudicate complex cyber insurance claims from inception to resolution.
- Interpret policy language, assess coverage, and determine liability for cyber incidents, including data breaches, ransomware attacks, and business interruption.
- Manage a caseload of claims, ensuring timely and efficient processing while maintaining high quality standards.
- Collaborate with policyholders, legal counsel, forensic investigators, and other third-party vendors to gather information and resolve claims.
- Perform in-depth analysis of financial, technical, and legal aspects of cyber incidents.
- Prepare detailed claim reports, settlement recommendations, and reserve analyses.
- Negotiate settlements with claimants and their representatives.
- Stay current with evolving cyber threats, security vulnerabilities, and relevant legal and regulatory landscapes.
- Provide expert advice and support to underwriting and claims teams on cyber risk exposures and policy wordings.
- Contribute to the continuous improvement of claims handling processes and procedures.
Qualifications:
- Bachelor's degree in Risk Management, Finance, Law, Computer Science, or a related field. Advanced degree or professional certifications (e.g., CPCU, ARM) are a plus.
- Minimum of 5 years of experience in insurance claims handling, with a significant focus on cyber or technology errors & omissions (E&O) insurance.
- Strong understanding of cyber security principles, common cyber threats, and incident response procedures.
- Excellent analytical, problem-solving, and decision-making skills.
- Proficiency in interpreting complex legal documents and insurance policies.
- Exceptional negotiation and communication skills, both written and verbal.
- Ability to manage multiple priorities and work effectively under pressure in a remote setting.
- Familiarity with relevant data privacy regulations (e.g., GDPR, CCPA).
- Experience working with claims management systems.
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            Senior Claims Analyst - Insurance Fraud Detection
Posted 7 days ago
Job Viewed
Job Description
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