Claims Management

Role Purpose: Provider Capability Compliance is a key enabler in order to achieve Bupa Arabia vision. The position plays an important role in driving the execution of identified key projects that supports the Provider Capability Compliance enabler and other key business priorities. Key Accountabilities: 1- Claims Efficiency; - Orient the providers to comply...

About the PositionThis position is responsible for guiding the effective and accurate assessment, administration, and fair settlement of valid claims submitted by customers. The Senior Specialist will provide support to the Head, Claims and Recovery in all recovery operations.Key ResponsibilitiesGuides the investigation of claims submitted by customers to...

Position Overview:The Claims Specialist efficiently manages and processes claims, ensuring compliance with company policies and regulatory requirements. This role involves coordinating with internal teams and external authorities, handling legal aspects of claims, and ensuring timely resolution through effective communication and follow-up.Key...

To ensure that assigned provider’s Inpatient and Outpatient claims are medically & commercially adjudicated within the specified timeframe and within the targeted quality to achieve the business objective of ensuring that BUPA delivers high quality claim statements. Adjudication - Process all the daily batches of claims assigned in line with medical...

**Role Purpose** To 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...

About the RoleThe Senior Specialist will be responsible for guiding the effective and accurate assessment, administration, and fair settlement of valid claims submitted by customers. This role will also provide support to the Head, Claims and Recovery in all recovery operations.Key ResponsibilitiesComplies with guidelines and leads the collection of relevant...

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 DescriptionThe Islamic Development Bank is seeking a highly skilled Senior Specialist to join its team in the Claims and Recovery department. This role requires strong analytical, communication, and problem-solving skills to effectively assess and settle claims submitted by customers.Main ResponsibilitiesLead the investigation of claims submitted by...

Job SummaryThe Islamic Development Bank seeks a Senior Specialist to manage claims and recoveries operations in the Legal Affairs Department. The successful candidate will have a strong background in insurance, economics, finance, law, or business administration and excellent analytical, communication, and problem-solving skills.Main ResponsibilitiesLeads...

Company Profile: Every Day, Around the World, People Reach for Unilever Products. Our Brands Are Trusted Everywhere And, By Listening to The People Who Buy Them, We've Grown into One of The World's Most Successful Consumer Goods Companies. In Fact, 150 Million Times A Day, Someone Somewhere Chooses a Unilever Product. Look in Your Fridge, Or on The Bathroom...

Creating detailed project plans for every activity in Primavera P6, including WBS, activity list and relations w.r.t cost loaded schedule. - Identifying critical path activities to ensure projects are delivered on time within budge, and to the required quality standard. - Collaborate with the project team to identify project requirements, including...

Develop and manage the excellence deployment for all payer operation and claim requirements in line with regulator policies and ensure proper collaboration with Nahdi departments to ensure the best outcomes via established SLA & SOPs. **Accountabilities** **Contracting & Benefit File Excellence**: - Ongoing maintenance of all payers contract to comply...

**Minimum Clearance Required to Start**: Not Applicable/None Ready to take your engineering and management experience to the next level to work on complex construction problems that will have a huge impact on the local community? Parsons is now hiring a Reporting Manager who can lead a team of professionals overseeing every phase of mission critical...

At Saudi German Health Careers KSA, we are seeking an experienced Revenue Cycle Manager to oversee all revenue cycle activities for our brand-new Rehabilitation Hospital. The ideal candidate will ensure efficient claim management, optimize revenue collection, and maintain strong relationships with insurance providers.About the Role:Manage and oversee the...

**Job Title**: Warranty Manager **Department**: TCS **Function**: Warranty & Goodwill **Legal Entity**: NKSA **Location**: Jeddah **Level**: Manager **Direct Manager**: DGM - Warranty & Goodwill PURPOSE / DETAILS OF THE JOB **Countries**: KSA + Other markets **Scope**: NISSAN + INFINITI Main tasks and responsibilities (Including team management if...

Andalusia Group of Medical services is hiring " Centers insurance manager" in KSA, Jeddah. - A strong previous experience in Insurance - Experience in (Approvals-Claims-RCM ) Departments. - Any nationality

IDB3447 - Senior Specialist - Claims and RecoveryThe role holder is responsible for guiding the effective and accurate assessment, administration and fair settlement of valid claims submitted by customers in line with the established claims and recovery guidelines. This role will also be responsible for the provision of requisite support to the Head, Claims...

Saudi German Health Careers KSA seeks an experienced Healthcare Financial Expert to manage the revenue cycle process for our brand-new Rehabilitation Hospital. The ideal candidate will ensure efficient claim management, optimize revenue collection, and maintain strong relationships with insurance providers.About the Role:Manage and oversee the entire revenue...

Leads the insurance function with the objective of streamlining the process of patient insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction. Ability to commute/relocate: - Jeddah: Reliably commute or planning to relocate before starting work (required)

**Responsibilities**: - Play a leading and pivotal role in supporting the project executives, leaders and project managers in monitoring and controlling the performance of contracted services to ensure services are effective, meet statutory requirements and deliver the desired outcomes. - Manage all matters regarding contract administration, claims,...