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Medical Insurance Specialist
Tamkeen Human Resource (THR)Riyadh, Riyadh Region, Saudi Arabiaمنذ يوم 1
الوصف الوظيفيEnsure all policies comply with agreed-upon terms and conditions with insurance providers. Maintain accurate and up-to-date records of insurance policies. Coordination with Insurance Companies : Negotiate with insurance companies to improve terms, coverage, and costs during renewals or additions. Follow up on medical claims to ensure accuracy and adherence to policy terms. Employee Support : Assist employees in submitting medical claims or obtaining necessary approvals. Address employee inquiries and resolve concerns related to medical insurance. Claims Management : Follow up on claim reimbursements with insurance providers. Prepare periodic reports on claims and insurance costs. Employee Awareness : Explain the claims process and coverage benefits. Reporting and Analysis : Provide recommendations for improving insurance efficiency and reducing costs. Bachelor’s degree in Business Administration, Insurance, or a related field. 3 years of experience in medical insurance or human resources management. Strong communication and problem-solving skills. Good knowledge of medical insurance laws and related policies. Proficiency in computer skills and insurance management software. (English speaking and writing) Attention to detail and accuracy. Ability to work under pressure. Commitment to maintaining confidentiality. Seniority level : Mid-Senior level Employment type : Full-time Job function : Health Care Provider Industries : Human Resources Services
Overview
Direct message the job poster from Tamkeen Human Resource (THR)
Responsibilities
- Managing Medical Insurance Policies :
Oversee employee medical insurance contracts and ensure timely renewals.
Communicate with insurance providers to resolve issues related to coverage or approvals.
Provide employees with guidance on insurance benefits and coverage details.
Review medical claims submitted by employees to ensure compliance with policy terms.
Conduct workshops or orientation sessions to educate employees on medical insurance policies.
Prepare regular reports on medical insurance performance, including costs and utilisation rates.
Qualifications and Experience
Key Personal Attributes
Job Details
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