Retrospective Review Officer

1 week ago

Manama, Manama, Bahrain Allianz Partners Full time $60,000 - $100,000 per year

What You Do

  • Responsible for the clinical assessment of medical claims to ensure compliance with medical necessity, policy coverage, and clinical guidelines.
  • Works closely with claims processors and providers to validate treatment justification.
  • Review inpatient and outpatient medical claims for clinical accuracy
  • Validate diagnoses, procedures, and services against medical records and policy terms
  • Identify discrepancies, overutilization, or non-compliance with guidelines
  • Collaborate with claims teams to support adjudication decisions
  • Ensure decisions are in line with medical policies and regulatory requirements.
  • Ensure meeting of Daily required targets of Claims processing
  • Other Ad hoc duties as required

What You Bring

  • Medical Degree (MBBS, MD, or equivalent)
  • Minimum 1–3 years of clinical practice or medical review experience
  • Familiarity with ICD, CPT, DRG coding, and insurance guidelines
  • Strong analytical and decision-making skills
  • High level of accuracy and attention to detail.
  • Proficiency in medical review systems and documentation tools
  • Excellent written and verbal communication in English
  • Flexibility to adapt to changing business needs and work under pressure.
  • Legally permitted to work in the country of operations.
  • Hybrid working option available as per business requirements.

What We Offer
Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance

79176 | Customer Services & Claims | Professional | PG07 | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board. Let's care for tomorrow.

  • Staff Software Engineer

    4 weeks ago

    Manama, Manama, Bahrain Calo Inc. Full time

    About CaloLaunched in Bahrain in November of 2019, Calo is on a mission to make healthy easy. We're a team of dedicated people driving this mission by providing better, faster, and cheaper ways to access food through technology.Role OverviewWe're seeking an experienced and passionate Staff Software Engineer to design, develop, and maintain reliable, secure,...

  • Admin Office

    1 week ago

    Manama, Manama, Bahrain Havelock One Interiors Full time 90,000 - 120,000 per year

    BackgroundSince 1998, Havelock One Interiors has established itself as a leading turnkey fit-out service provider in the Middle East. We specialize in interior contracting and the manufacturing of bespoke joinery, metal works, and sophisticated shop fittings.As a result of expansion in a key growth market, "Bahrain", we are seeking to hire a well-qualified...

  • OutSystems Architect _Developer

    1 day ago

    Manama, Manama, Bahrain LeadingEdge HR Solutions Full time 4,800 - 6,000 per year

    Title:SeniorOutSystems Architect DeveloperLocation: Manama Bahrain (onsite)Budget: under 1200 BHD (depends on experience)contract: 6 months to 12 months (extendable)About JobWe are seeking a highly skilledOutSystems Senior Developerto design, develop, and optimize enterprise applications using the OutSystems low-code platform. The ideal candidate will have...

  • Product Owner

    1 week ago

    Manama, Manama, Bahrain Tap Payments Full time $90,000 - $120,000 per year

    About TapTap Payments is revolutionizing online payments across the MENA region by connecting businesses with simple, unified payment experiences. We need exceptional talent to help us on this journey.The Innovation TeamAre you someone who can spot trends and identify what customers want before they even know it? If so, this might be the right team for you....

  • Operational Support Officer

    4 weeks ago

    Manama, Manama, Bahrain Bank ABC Full time

    Bank ABC seeks to recruit an Operational Support Officer in the Internal Control Unit of the Operational Support Department based in our Head Office, in Bahrain.The Operational Support Officer will be responsible for to undertake designated activities within the department to ensure service standards are achieved and risks managed. Be responsible for...

  • Operational Support Officer

    1 week ago

    Manama, Manama, Bahrain Bank ABC Full time 60,000 - 120,000 per year

    Bank ABC seeks to recruit an Operational Support Officer in the Internal Control Unit of the Operational Support Department based in our Head Office, in Bahrain.The Operational Support Officer will be responsible for to undertake designated activities within the department to ensure service standards are achieved and risks managed. Be responsible for...

  • Compliance Officer

    1 week ago

    Manama, Manama, Bahrain Bybit Full time 90,000 - 120,000 per year

    About the RoleWe are seeking an experiencedCompliance Managerto join our team and take ownership of regulatory compliance across multiple jurisdictions. This role will carryMLRO (Money Laundering Reporting Officer) responsibilitiesand will play a key part inregulatory license applications(e.g., Virtual Asset, Payment Services, EMI, or MiFID). The ideal...

  • Management Support Officer

    1 day ago

    Manama, Manama, Bahrain Era Projects Full time 9,000 - 12,000 per year

    Job Overview:We are seeking a highly organized and detail-oriented Administrative & Reception Assistant to join our team. As an Administrative Assistant, you will play a crucial role in supporting our daily operations and ensuring smooth administrative processes. This is a full-time position with opportunities for growth and...

  • Office & Reception Coordinator

    7 days ago

    Manama, Manama, Bahrain Era Projects Full time 9,000 - 12,000 per year

    Job description:Job Overview:We are seeking a highly organized and detail-oriented Administrative & Reception Assistant to join our team. As an Administrative Assistant, you will play a crucial role in supporting our daily operations and ensuring smooth administrative processes. This is a full-time position with opportunities for growth and...

  • Graduate Software Developer

    1 week ago

    Manama, Manama, Bahrain Habara Hotel & Restaurant Management W.L.L. Full time 3,000 - 6,000 per year

    Job Overview:BLUE BLOCK IT SOLUTIONS CO. W.L.L. is looking for highly motivated and talented Graduate Software Developer to join our dynamic development team. As a key member of the team, you will be responsible for building innovative web applications and mobile applications using ReactJS and React Native. The successful candidate should be familiar with...