Overview
Medical Insurance Specialist Jobs in Riyadh, Saudi Arabia at Tamkeen Human Resource (THR)
Responsibilities
- 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.
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Title: Medical Insurance Specialist
Company: Tamkeen Human Resource (THR)
Location: Riyadh, Saudi Arabia
Category: