Claims Specialist or Associate

4 days ago


Riyadh, Saudi Arabia Sawaid Full time

**We are looking for a **" Claims Specialist "** to join a " Supportive Healthcare And Health Insurance" company in Saudi Arabia.**:
**The location work in Riyadh.**

**What Will You Do**:

- All services provided to insured patients must be prepared in a defined claim format in order to
- reimburse incurred costs from the insurance companies.
- Responsible for preparing & submitting the monthly claims per the payer’s protocol of billing and claim.
- Claim structure must be completed in all medical, and financial forms and supported by all reports
- and documents.
- Provides timely reports to relevant stakeholders
- Collect Claim forms, pre-authorization/approvals forms, prescriptions, radiology reports, laboratory
- reports, and all other medical reports relevant to invoices.
- Batch the claims per insurer and prepare a cover letter for submission.
- Request and follow up on all discharge summaries, operative reports, and medical reports needed for
- attachment with the claims.
- Attach documents to correlating invoices.
- Prepare a claim report each in the corresponding formats to insurance companies and raise it to the
- supervisor.
- Coordinates with the claim audit team for medical competency and medical review.

**What are the requirements and qualifications required for the job**:

- Associate's or bachelor's degree in a relevant field, such as insurance or business administration
- Prior experience in claims preparation and submission, insurance or customer service
- Knowledge of insurance policies, regulations, and claim processes
- Excellent verbal and written communication skills
- Strong attention to detail and organizational skills
- Ability to work independently and meet deadlines.
- very good in English
- 0 - 1 experience



  • Riyadh, Saudi Arabia Sawaid Full time

    **We are looking for a **" Associate - Claims resubmission "** to join a **Supportive Healthcare And Health Insurance** company in Saudi Arabia.**: **The location work in Riyadh.** **What your **Responsibilities**: - Properly process and audit all types of rejected claims received from payers, from the medical and technical perspective. - Report back any...


  • Riyadh, Saudi Arabia ACCUMED Full time

    The Medical Claims Submission Associate is involved is receiving the claims from every client either in paper or electronic format. He batches the received claims and segregates them as per insurances. Prepares a statement for reconciliation with the client and queries the client for any missing documents or claims. Scanning of the document is done and...

  • Claims Specialist

    7 months ago


    Riyadh, Saudi Arabia Waseel Full time

    **Job Overview** Waseel is looking for a Claims Specialist to join our team to work in Riyadh! **Key Responsibilities** Review and verify the accuracy of medical claims submitted by healthcare providers, ensuring compliance with company policies, procedures, and regulatory requirements. - Superior math aptitude and strong analytical ability - Assess claim...

  • Claims Manager

    7 months ago


    Riyadh, Saudi Arabia Fletcher Piccolo Associates (FPA) Full time

    The Role - A Contracts Administrator specializing in claims primarily focuses on overseeing and resolving contractual disputes and claims that arise during construction projects. - This role entails carefully examining contracts, pinpointing potential areas of disagreement, and advising project teams on contractual obligations and rights. - The Contracts...


  • Riyadh, Saudi Arabia ACCUMED Full time

    To audit & process all type of rejected claims received by the payers and resubmitting them correctly after thorough investigation and justification. **Responsibilities** - Properly process and audit all type of claims received by the payers, from the medical and insurance perspective. - Assure meeting the daily assigned target in terms of quantity &...


  • Riyadh, Saudi Arabia Bechtel Full time

    **Requisition ID**:251449** **Requisition Posting End Date**: **Company Overview**: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries on all seven continents that have created jobs, grown economies, improved the resiliency of the world's infrastructure, increased access to energy, resources, and vital services, and made...

  • Associate Solicitor

    6 months ago


    Riyadh, Saudi Arabia MENA Recruit Pty Ltd Full time

    We are looking for associates with 0-2 years PQE to join one of our client's Riyadh Office. Their Associates are responsible for a caseload of litigation and arbitration cases with a broad spectrum of work, both in terms of value and complexity. They providing advice and assessments on specific legal issues, offering commercially sound and pragmatic...

  • Collections Specialist

    7 months ago


    Riyadh, Saudi Arabia Sustainable Property Full time

    As a Collection Specialist, you will play a crucial role in ensuring the financial health and stability of our commercial real estate portfolio. You will be responsible for managing tenant accounts receivable, overseeing the collection process, and handling claims management related to property insurance. **Responsibilities**: - Monitor tenant accounts...

  • Library Assistant

    7 months ago


    Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Performs general public service functions and is responsible for the maintenance of book and journal collection shelves**.** **Essential Responsibilities and Duties**: 1. Assists Hospital staff while using the Library. 2. Performs circulation duties, including providing reference and basic information services. 3. Provides interlibrary loan services, acts...

  • HR Specialist

    6 days ago


    Riyadh, Saudi Arabia Avient Full time

    **WHY AVIENT**: Avient Corporation (NYSE: AVNT), with 2021 revenues of $4.8 billion, provides specialized and sustainable material solutions that transform customer challenges into opportunities, bringing new products to life for a better world. Examples include: - Barrier technologies that preserve the shelf-life and quality of food, beverages, medicine...


  • Riyadh, Saudi Arabia Perfect Presentation Full time

    **Responsibilities**: - Charge expenses to accounts and cost centers and control petty cash spending - Verify vendor accounts, pay vendors and resolve purchase order, invoice or payment discrepancies - Issue purchase order amendments and stop payments - Monitor payroll expense claims, including salary advances and overtime payments - Reconcile account...

  • Associate Director

    7 months ago


    Riyadh, Saudi Arabia Mace Full time

    At Mace, our purpose is to redefine the boundaries of ambition. We believe in creating places that are responsible, bringing transformative impact to our people, communities and societies across the globe. To learn more about our purpose, culture and priorities, visit our strategy site. Within our consult business, we harness our unique combination of...


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Provides technical support for all simulation operations, including preparation, maintenance and repair of computerized manikins (software and hardware), task trainers and related multimedia peripherals. **Essential Responsibilities and Duties**: 1. Serves as simulator operator by programming, testing and running scenarios with faculty instructors, assuring...

  • Clinical Specialist

    4 days ago


    Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Responsible and accountable for the assessment, planning,implementation and evaluation of specialized care to a specific patientpopulation in collaboration with more senior clinical specialists and medicalstaff. **Essential Responsibilities and Duties**: - Obtains clinical histories, conducts physical examinations, and obtains tests related to area of...

  • Marketing Specialist

    7 months ago


    Riyadh, Saudi Arabia Ingram Micro Full time

    It's fun to work in a company where people truly BELIEVE in what they're doing! **Job Description**: - Who are we?_ Ingram Micro touches 80% of the technology you use every day with our focus on Technology Solutions , Cloud , and Commerce and Lifecycle Solutions - With $46 billion in revenue, we have become the world’s largest technology...

  • Associate Director

    7 months ago


    Riyadh, Saudi Arabia KEO International Consultants Full time

    Overview: KEO is a creative enterprise, where innovation is a way of life. We are uniquely resourced with end-to-end services to take clients from inspiration - through conceptualization - to realization of planning, design or project delivery in the built and natural environments. For over 57 years we have led with vision, contributing to many of the...


  • Riyadh, Saudi Arabia Atkins Full time

    **Company Description** Jobs for Humanity is collaborating with Atkins to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: Atkins **Job Description** AtkinsRéalis** is a world-leading design, engineering and project management organization. We connect people, data and technology to...


  • Riyadh, Saudi Arabia Whiteshield Full time

    **ABOUT US | **We are a global advisory firm known for our ability to respond to global challenges rapidly and incisively. We use the most advanced tools and technology and combine them with our team of leading international experts to engage decision-makers in tackling society’s most significant challenges. We are recognized for our rapid decision...


  • Riyadh, Saudi Arabia ABB Full time

    **After Sales Support Specialist, Riyadh**: **Take your next career step at ABB with a global team that is energizing the transformation of society and industry to achieve a more productive, sustainable future. At ABB, we have the clear goal of driving diversity and inclusion across all dimensions: gender, abilities, ethnicity and generations. Together, we...

  • Associate

    7 months ago


    Riyadh, Saudi Arabia AtkinsRéalis Full time

    **AtkinsRéalis** is a world-leading design, engineering and project management organization. We connect people, data and technology to transform the world's infrastructure and energy systems. Together, with our industry partners and clients, and our global team of consultants, designers, engineers and project managers, we can change the world. We have a...