Medical Officer (Medical Doctor)

Job Description

GlobeMed Group, the largest Healthcare Benefits Management company in the MENA region is looking for a Medical Officer who will handle the administrative certification process related to all international claims and to the different products and services of the department in addition to medical review of claims.

Duties & Responsibilities:

• Support international partners by providing timely services to their inbound adherents, including access to GlobeMed’s local networks, medical evacuations and repatriations, and medical or travel assistance services.
• Support GlobeMed operations by providing timely services to outbound adherents, including access to GlobeMed’s international networks, assistance with cross-border claims, medical evacuations and repatriations, and medical or travel assistance services.
• Follow up with customers to ensure services were delivered effectively and met their expectations.
• Coordinate and follow up with internal GlobeMed departments to ensure services are delivered within agreed timeframes and quality standards.
• Provide information to the customers regarding GlobeMed’s local and international provider networks, products, and service offerings.
• Resolve service issues by identifying customer complaints, determining root causes, proposing and explaining solutions, expediting corrections, and following up to ensure complete resolution.
• Maintain accurate case records by updating and documenting case-related information.
• Ensure medical review of claims to assess medical necessity and assist in claim investigations and audits for potential fraud as requested by clients.

Qualifications

• Holder of a Medical Degree
• Analytical skills
• Attention to details: inquisitive and meticulous.
• Friendly: projecting a warm image and maintain a positive demeanor.
• Patience and good customer service skills.
• Effective communication skills:
• Language: Fluent in spoken English, Arabic and preferably French