Health and Benefits Claims Specialist

Determines covered medical insurance losses by studying provisions of policy or certificate.Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable...

• Define, propose and, once approved, implement specific action plans targeted at managing and/or handling claims/benefits, and control and monitor the technical, financial and quality-related management variables within their remit, to improve the quality of the services delivered and ensure that the qualitative, underwriting and financial results are...

Ensures that medical claims, medical records and other documentation essential to the healthcare provider follow JPS agreement.Ensures record accuracy, follows up, and makes necessary revisionsProcesses changes in information system to support accurate and efficient billing process and financial close.Checking eligibility and benefits verification for...

Evaluating and modifying existing compensation and benefits programs, policies, and procedures.Developing and implementing new compensation and benefits programs, policies, and procedures.Ensuring all programs, policies, and procedures comply with current legislation.Communicating with third-party services to negotiate benefit plans and resolve...

Working as a mental health specialist, you will be able to assist individuals in a residential setting with intensive and interfering mental health needs by providing positive behavioral support and individualized planning. You will be a part of a team, providing support to individuals with a variety of activities, including daily living skills, money...

Ensure staff understand and implement best practice/project models/approachesIdentify and work with Operations/P C to build the capacities of staff, particularly Health specialist staffIdentify and work with partner organizations to improve their capacity to implement quality Health interventionsEnsure compliance with donor, grant, technical standards and...

About the jobE & E Pharmaceuticals is a dynamic and innovative healthcare company dedicated to providing cutting-edge dermatological solutions. We are committed to enhancing skin health and empowering individuals to feel confident in their skin. As we continue to grow, we are seeking a motivated and experienced Product Specialist to join our team. Key...

Typically, a Bachelor’s degree in Midwifery/Nurse-midwifery (Master’s degree is preferred); or an OBGYN specialist or a Master’s in Sexual and Reproductive Health, Public Health or related field. Equivalent combination of relevant education and experience may be substituted as appropriate.Typically, 10+ years’ experience in design and...

About the jobJob DescriptionUnder the overall guidance of the Programme Coordinator and the direct supervision of the Health Policy Programme Specialist, the RHCS Programme Analyst will work within the Jordan Country Office environment, to support together with the Health Policy Specialist the national counterparts to scale up an integrated family planning,...

Job briefWe are seeking a responsible Safety Officer to ensure compliance with occupational health and safety (OHS) guidelines. Your primary role will be advising on measures to minimize hazards and maintain a safe working environment. Vigilance in identifying violations is crucial.The ideal candidate is a dedicated individual who strictly adheres to OSH...

Audit and review received invoices from health care provider according to the policy and procedure and create batches accordingly.Send claims bordereau’s to health care provider networks to inform them of approved claims and settlement amounts.Answering provider queries to provide clarifications about receiving and dispatching along with network...

Job brief We are seeking a responsible Safety Officer to ensure compliance with occupational health and safety (OHS) guidelines.Your primary role will be advising on measures to minimize hazards and maintain a safe working environment. Vigilance in identifying violations is crucial. The ideal candidate is a dedicated individual who strictly adheres to OSH...

Meeting with the management team to define EHS goals and objectives.Training employees on health and safety policies and best practices.Conducting inspections and identifying hazards and EHS violations.Providing solutions and intervention strategies for hygiene, health, and safety hazards.Implementing new health and safety protocols and measures to ensure...

Contribute with the Health Policy Specialist in supporting the national efforts to scale up the voluntary Family Planning programme with regards to demand creation and service delivery in line with the UNFPA Family Planning Strategy;Provide evidence together with the Health Policy Specialist to the Country Representative to support the advocacy for...

Job Description: Our client is looking for skilled Clinical Nurse Specialists (CNS) with expertise in critical care. In this role, you will be responsible for: Providing advanced nursing care and expertise in the specified specialty.Collaborating with nursing staff and other healthcare professionals.Conducting patient assessments and developing care...

repare and review compensation and benefits packagesAdminister health and life insurance programsImplement training and development plansPlan quarterly and annual performance review sessionsInform employees about additional benefits they’re eligible for (e.g extra vacation days)Update employee records with new hire information and/or changes in...

Job PurposeThe emergency health senior officer, under supervision and guidance of emergency health coordinator, will be working to support emergency health preparedness and response operations of NSs for different disasters and crises. With ongoing and frequent emergencies in the MENA region, the senior officer will support the emergency health coordinator...

Key duties and responsibilitiesSupport and promote technical dialogue between the WHO country office and WHO regional office during strategic and operational planning, including the country cooperation strategy.Coordinate and provide support to the head of the WHO country office and senior staff on the implementation of the one-planning and monitoring...

Job DescriptionMoroccan Hammam SpecialistFairmont Amman Hotel is looking for a Moroccan Bath Specialist to join Our Spa team. We are looking for an English/ Arabic -speaking specialist/therapist with at least 3 years relevant experience.Responsibilities and essential job functions includes but are not limited to the following:Specialized in Moroccan Bath...

Job DescriptionMoroccan Hammam SpecialistFairmont Amman Hotel is looking for a Moroccan Bath Specialist to join Our Spa team. We are looking for an English/ Arabic -speaking specialist/therapist with at least 3 years relevant experience.Responsibilities and essential job functions includes but are not limited to the following:Specialized in Moroccan Bath...