Medical Insurance Specialist

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

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