Assistant Executive – Medical Claims
Solarelle Insurance Pvt Ltd
•
Posted 18 hours ago
Hot job — getting far more views than similar listings this week
This job is open for Maldivians only
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Salary Range
Not Stated
Job Type
Full-time
Qualification
A Level
Location
Male'
Experience
Not Stated
Supporting Docs
- Photograph
- Educational Certificates
- Employment Ref Letters
- Identity Card
- Police Report
- Resume / CV
- Training Certificates
Ref No
Sector
Private (Others)
Closing On
06 Sep 2026
Job Overview:
- We are looking for an experienced, technically competent and customer-focused professional to join our Claims Department as Assistant Executive – Medical Claims.
Key Responsibilities:
- Receive and review health insurance claims submitted by policyholders or healthcare providers.
- Identify documentation gaps or discrepancies and coordinate with senior team members.
- Ensure all required documentation is complete and compliant.
- Enter relevant information from claims documents into the claims processing system.
- Verify and update policyholder information.
- Perform detailed verification of medical documents and service provider credentials.
- Validate claims against policy coverage and identify irregularities.
- Communicate with policyholders and healthcare providers for additional information on claims.
- Assist in preparing claims files for review.
- Maintain organized records of claims processing activities.
- Address inquiries from policyholders and healthcare providers.
- Participate in quality assurance activities and recommend improvements.
- Collaborate with team members to ensure efficient claims processing.
- We are looking for an experienced, technically competent and customer-focused professional to join our Claims Department as Assistant Executive – Medical Claims.
Key Responsibilities:
- Receive and review health insurance claims submitted by policyholders or healthcare providers.
- Identify documentation gaps or discrepancies and coordinate with senior team members.
- Ensure all required documentation is complete and compliant.
- Enter relevant information from claims documents into the claims processing system.
- Verify and update policyholder information.
- Perform detailed verification of medical documents and service provider credentials.
- Validate claims against policy coverage and identify irregularities.
- Communicate with policyholders and healthcare providers for additional information on claims.
- Assist in preparing claims files for review.
- Maintain organized records of claims processing activities.
- Address inquiries from policyholders and healthcare providers.
- Participate in quality assurance activities and recommend improvements.
- Collaborate with team members to ensure efficient claims processing.
You can apply online or send job application by email to: careers@solarelleinsurance.com