Claims Integrity

The Position:We are looking for a detail-oriented Claims Lead to join our insurance team. As a Claims Lead you will directly report to the Manager of the Claims Department and will be an integral member of the Claims Leadership Team. You will be responsible for the analysis and management of claim files within their unit.Supervision includes claim...

**Requisition ID**:265138** - ** Relocation Authorized**:International - Family**: - ** Telework Type**:Full-Time Office/Project**: - ** Work Location**:Riyadh** **Project Overview**: Bechtel and its consortium partners are excited to begin hiring the completion teams which will finalize the monumental Riyadh Metro Project (RMP), currently estimated at...

Requisition ID:265138**- Relocation Authorized:International - Family**: Telework Type:Full-Time Office/Project**:- Work Location:Riyadh**Project Overview:Bechtel and its consortium partners are excited to begin hiring the completion teams which will finalize the monumental Riyadh Metro Project (RMP), currently estimated at 94% complete. The BACS...

In this role, you will support to carry anti-fraud activities as an investigator and auditor in order to fight Fraud, waste, and abuse (FWA) with identified business needs within the agreed timescale and quality standards. You will be responsible for the following: - Analyze the data to identify potential fraud suspects. - Collect the financial figures of...

**Requirements**: At EFG (ESL FACEIT Group) we create worlds beyond gameplay where players and fans become community. We pride ourselves in having a corporate social responsibility which is that “IT’S NOT GG (Good Game), UNTIL IT’S GG FOR ALL”. We are passionate about the culture we foster that ultimately helps to create and shape the world of...

Requirements:At EFG (ESL FACEIT Group) we create worlds beyond gameplay where players and fans become community. We pride ourselves in having a corporate social responsibility which is that "IT'S NOT GG (Good Game), UNTIL IT'S GG FOR ALL". We are passionate about the culture we foster that ultimately helps to create and shape the world of esports, gaming...

**Role Summary**: As Quality Review and Audit Senior Analyst within Payment Integrity FWA Team you will be directly supporting Cigna’s affordability commitment within Cigna International's business within KSA. This role is responsible for detecting and recovering FWA payments for non-network claims, creating solutions to prevent claims overpayment and...

Develop and maintain a strategic approach to the revenue cycle that aligns with the broader objectives of Bupa insurance.Collaborate with clinical and administrative departments to ensure a seamless integration between care delivery and insurance processing systems.Oversee the claims submission process to insurance providers, ensuring accuracy and compliance...

Develop and maintain a strategic approach to the revenue cycle that aligns with the broader objectives of Bupa insurance.Collaborate with clinical and administrative departments to ensure a seamless integration between care delivery and insurance processing systems.Oversee the claims submission process to insurance providers, ensuring accuracy and compliance...

**Company Description** At Turner & Townsend we’re passionate about making the difference. That means delivering better outcomes for our clients, helping our people to realize their potential, and doing our part to create a prosperous society. Every day we help our major global clients deliver ambitious and highly technical projects in over 112 offices in...

**You as a Project Engineer will be part of Hitachi Energy business based in Riyadh, Saudi Arabia. Leading the execution of small projects with low complexity and ensuring that all related activities are executing in accordance with company procedures, contract specifications, quality standards, health, safety & environment requirements, cost or...

To manage the commercial and contractual relationship with Bupa network providers so as to ensure the compliance to regulations and the delivery of business benefits Reconciliation of the accounts - Set the targets aligned with the overal forecast. - Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control...

To manage the commercial and contractual relationship with Bupa network providers so as to ensure the compliance to regulations and the delivery of business benefits. - Set the targets aligned with the overal forecast. - Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control and drop it year after year. -...

**At Hitachi Energy our purpose is advancing a sustainable energy future for all. We bring power to our homes, schools, hospitals and factories. Join us and work with fantastic people, while learning and developing yourself on projects that have a real impact to our communities and society. Bring your passion, bring your energy, and be part of a global team...

**At Hitachi Energy our purpose is advancing a sustainable energy future for all. We bring power to our homes, schools, hospitals and factories. Join us and work with fantastic people, while learning and developing yourself on projects that have a real impact to our communities and society. Bring your passion, bring your energy, and be part of a global team...

• Evaluate facts and merit of legal claims, interviewing claimants and defendants, testify to merit of case, and gathering additional supporting documentation to evidence wrongdoing or breach of contract.• Act as an intermediary arbitrator for experts on both sides of claim tasked with agreeing points of view and evidence to support claim.• Determine...

Company DescriptionAt Turner & Townsend we're passionate about making the difference. That means delivering better outcomes for our clients, helping our people to realize their potential, and doing our part to create a prosperous society.Every day we help our major global clients deliver ambitious and highly technical projects in over 112 offices in 47...

**Requisition ID**:271444** - ** Relocation Authorized**:National/International - Accompanied**: - ** Telework Type**:Part-Time Telework**: - ** Work Location**:Riyadh** **About Bechtel**: 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...

To manage the commercial and contractual relationship with Bupa network providers so as to ensure the compliance to regulations and the delivery of business benefits. Set the targets aligned with the overal forecast. Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control and drop it year after year. Plan...

**Insurance Medical Rules - Senior Manager** **Role Summary**: Responsible for managing the product image and its development though client Interface by connecting Content and Business teams (BDU) simultaneously. - Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the...