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Medical Insurance Specialist

Medical Insurance Specialist

Tamkeen Human Resource (THR)Riyadh, Riyadh Region, Saudi Arabia
منذ يوم 1
الوصف الوظيفي

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.

  • Ensure 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 :

    • Communicate with insurance providers to resolve issues related to coverage or approvals.

  • 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 :

    • Provide employees with guidance on insurance benefits and coverage details.

  • Assist employees in submitting medical claims or obtaining necessary approvals.
  • Address employee inquiries and resolve concerns related to medical insurance.
  • Claims Management :

    • Review medical claims submitted by employees to ensure compliance with policy terms.

  • Follow up on claim reimbursements with insurance providers.
  • Prepare periodic reports on claims and insurance costs.
  • Employee Awareness :

    • Conduct workshops or orientation sessions to educate employees on medical insurance policies.

  • Explain the claims process and coverage benefits.
  • Reporting and Analysis :

    • Prepare regular reports on medical insurance performance, including costs and utilisation rates.

  • Provide recommendations for improving insurance efficiency and reducing costs.

    • Qualifications and Experience

  • 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)

    • Key Personal Attributes

  • Attention to detail and accuracy.
  • Ability to work under pressure.
  • Commitment to maintaining confidentiality.

    • Job Details

  • Seniority level : Mid-Senior level
  • Employment type : Full-time
  • Job function : Health Care Provider
  • Industries : Human Resources Services

    • Referrals increase your chances of interviewing at Tamkeen Human Resource (THR) by 2x

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    إنشاء تنبيه وظيفي لهذا البحث

    Specialist Medical • Riyadh, Riyadh Region, Saudi Arabia