Nurse
NEW
REF 1895611
47 hours ago | Dubai | full time
- General
- Location: Dubai
- Occupancy: full time
- Description
- Our dynamic team of Customer Care Nurses utilize their clinical knowledge to begin the claim evaluation process as well as provide insight into the claimants clinical status and their ability to perform job duties.
Responsibilities:
- Gather, receive, and document necessary information from claimants and/or representatives to initiate and begin evaluation of disability and/or leave claims. Provides caller with explanation of intake and subsequent claims process.
- Refers to case templates to identify any account specific instructions that will require customized communications to claimant at Intake.
- Customize claimant interview to obtain medical information specific to functional limitations and work requirements in order to determine if limitations are reasonable and medically supported.
- Determine medical complexity and appropriate duration assignment and/or a medical milestone for those claims assigned a duration/milestone.
- Gather MD ordered restrictions and limitations as well as Return To Work expectations, as appropriate to the claim.
- Demonstrates effective and professional oral and written communication skills (responsive, knowledgeable, empathetic, and courteous communication).
- Accurately enters employee/ employer/ physician intake information into Claim System screens and document any relevant information into the comments section.
- Clearly & concisely documents clinical impression to enable Claims Ability Analyst to make an appropriate claims decision based on employees condition and functionality.
- Must be able to work in a fast paced environment and adapt to various scenarios that the caller will present.
- Requirements
- Bachelor degree
To be eligible for this role, our ideal candidates will possess;
- Successful completion of a Bachelor of Nursing
- DOH license
- Provisions
- Salary: to be discussed
- Transportation
- Accommodation
- Publisher
- direct employer
- 50 - 200 employees