Medical Claims Supervisor

Hiring for an Reputed Insurance Company based at Muscat, Oman.

Job Title: Supervisor – Claims Audit & Risk (Medical Insurance)

Job Purpose

We are seeking a medically qualified professional to support Quality Assurance within the medical insurance function, focusing on claims auditing, utilization review, and risk identification with exposure to fraud detection . The role is ideal for candidates with strong clinical and insurance experience looking to expand into fraud and audit leadership.

Experience in utilization review, pre-authorization, medical claims auditing, and exposure to fraud detection and abuse patterns…

Key Responsibilities

• Perform detailed audits of inpatient and outpatient medical claims
• Identify irregularities, billing discrepancies, and potential abuse patterns
• Support investigations into s...