Claims Operations Excellence

Role PurposeTo be fully trained and aware of claims handling process including adjudication & fraud, waste and abuse management. Moreover, ensuring that daily assigned tasks are completed withing the specified time frame in line with Bupa's values.Key Accountabilities Process all the daily batches of claims assigned in line with medical policy and Outpatient...

MedNet is one of the leading managed care service organizations that caters to healthcare needs and offers protection against unforeseen health risks. We are looking for a Claims Manager who willplan and manage the data entry and claims processing operations of the assigned MedNet in order to ensure the delivery of superior claims handling services to...

Responsible of securing 80% of clinic revenue as its covered under insurance. Managing claiming and billing process internally and externally with excellence. Performs audits on insurance claims to ensure full governance and compliance on the claiming and billing process and raise internal physicians awareness on CCHI and Insurance provider policy including...

Job Description:Parsons is looking for an amazingly talented Director - Contracts & Claims to join our team In this role you will get to ensure the project adheres to legal, regulatory standards, and best practices in contract management, serving as a cornerstone of the project's success by safeguarding its commercial integrity. This role reports to the...

Are you passionate about driving operational efficiency and excellence Do you thrive in a dynamic environment where your contributions make a significant impact If so we have the perfect opportunity for you Position: Operational Excellence Manager Reporting to: Operations Director Location: Jeddah Saudi Arabia Key Accountability: Our esteemed client is...

Are you passionate about driving operational efficiency and excellence? Do you thrive in a dynamic environment where your contributions make a significant impact? If so, we have the perfect opportunity for youPosition: Operational Excellence Manager Reporting to: Operations Director Location: Jeddah, Saudi ArabiaKey Accountability: Our esteemed client is...

Role Purpose:To be responsible for the commercial and medical management of the portfolio providers in order to resolve the identified trends ,unit cost control and obtain competitive commercial terms and reconciliation outcome within the agreed target forecasting ,timescales and quality standards.Key Accountabilities:1- Reconciliation of the accounts; Set...

Job Description - Sales Excellence Specialist T) Sales Excellence Specialist T ) Responsibilities 1. Ensuring the coordination, communication, and execution of sales excellence projects. 2. Ensuring Operational Excellence , defining project goals, developing project plans, managing budget and resources, tracking project progress, and collaborating with...

To lead, design, execute and monitor all the strategic and operational activities of the service differentiation to ensure that Bupa Arabia is the preferred insurance company and stays, ahead of competition in every touch point of the customer journey.Service Excellence Strategy: Partner with the Key Stakeholders/Directors in order to design the service...

Partner with the Key Stakeholders/Directors in order to design the service excellence strategy framework and drive the Service Excellence Strategy Steering Committee through monthly sessions to ensure BUPA service targets are on track. Ensure that all the Service Differentiation activities agreed, and the service strategy framework are being delivered by the...

Record, initiate, & enter the cargo or shipment details to the logistics system & ensure existing information for further processing. Upon shipment confirmation, coordinate with Shipper / Agent and get the shipment details, readiness status, equipment confirmation, loading location confirmation & documents request. At same time updating the information to...

IDB3208 - Senior Associate, Process Excellence Business Unit: ITFC Division: Not Applicable Department: Not Applicable JOB PURPOSE: The Business Excellence role ensures that processes within the corporation create value and run efficiently. Work with a team of individuals from across the organization to develop new methods of doing the required work,...

Role Summary:To perform and apply HR & Admin functions in an effective, efficient, and smooth way.Responsibilities:Perform Insurance policy renewal as Health Insurance, life insurance.Follow-up and finalize all financial claims submitted by employees.Checking, verify, and approve all invoices/claims from the insurance company.Review the monthly report for...

Jamjoom Pharma has in a very short span of time emerged, as one of the leading pharmaceutical companies in the Afrasia region. The geographical focus of the company is on countries in the Middle East, Africa, and CIS regions. Strategic focus on selected therapeutic categories has contributed to the rapid growth, market acceptance, and overall success of the...

Responsible for overseeing the analysis, design, and implementation of business systems and solutions within the Claims Management department.Business Analysis Collaborate with stakeholders to understand business requirements and translate them into functional specifications. Conduct thorough analysis of existing claims management processes, identifying...

Company descriptionCome help us create a better everyday life for the many people. That's the IKEA vision. We do that by offering a wide range of home furnishings with good design and function at prices so low that as many people will be able to afford themJob description Purpose**This position is responsible for implementing an effective compensation and...

About the Program: We are excited to offer a training opportunity through Tamheer program for recent graduates. This is an excellent chance to gain hands-on experience and develop your skills in a dynamic and supportive environment. Departments with Vacancies: Claims Underwriting Recovery Key Responsibilities: Claims: Assist in evaluating and processing...

o Daily Cash reconciliation.o Processing Petty cash claimso Recording and verifying parts received against PO and payments made.o Verifying Goods in Suspense.o Maintaining supplier accounts for the operations related.o Maintaining Books for Meritus that includes:§ Petty cash Claims§ Balance Sheet§ Fixed Assets

Job Requisition ID:159981Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United Arab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more than...

Job Requisition ID: 159981 Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United Arab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more than...