Medical Board Consultant

1 month ago


Riyadh, Ar Riyāḑ, Saudi Arabia ADDAR GROUP Full time

Looking for a Medical Board Consultant for a top Insurance Domain Client in Riyadh.

  • Manage relationships with Medical Providers including negotiating discounts, reviewing price lists, handling reconciliations, and conducting regular visits;
  • Review prior-approval requests, negotiate with providers, approve cases, and input claims into GIG Insurance E.C. IT system;
  • Oversee In-patient claims with hospital visits;
  • Provide advice on Medical Basics and Practice;
  • Support Medical Claims Administrators;
  • Validate medical claims in the IT system;
  • Communicate with Insured Members regarding claims and inquiries;
  • Conduct training sessions on medical products for clients and internal teams;
  • Maintain confidentiality of all medical information.


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