Insurance Policy Administrator

2 days ago


Jeddah, Makkah Province, Saudi Arabia MedNet Global Healthcare Solutions LLC Full time
Job Role

As a Claims Manager at MedNet Global Healthcare Solutions LLC, you will be responsible for planning, managing, and controlling claims processing operations for provider networks and insured members directly to ensure prompt services to clients and achieve optimal customer satisfaction.

Key Accountabilities
  • Plan resources, manage, and control overall claims processing operations for provider network and insured member direct, ensuring provision of prompt services to clients and thus supporting achievement of the overall MedNet Saudi Arabia goals and objectives and optimum customer satisfaction.
  • Settle claims as per prescribed/designated financial authorities; ensure reserves are established/maintained for reported claims as per agreed procedures and review of claims is taken up periodically.
  • Act as an external auditor for claims/approvals which are above the defined level in order to sign off prior to forwarding to the concerned department/Managing Director.
  • Maintain close rapport with major clients; visit/meet clients; discuss claims, claims procedures or other matters and adopt the best way forward for resolution of such matters.
  • Act as the contact person to insurance providers, members, and insurance companies in order to ensure effective troubleshooting in the event of any issues regarding claims.
  • Motivate subordinates and identify opportunities for continuous improvement of claims processing systems, processes, and practices taking into account international leading practices, improvement of business processes, cost reduction, and productivity improvement.
  • Maintain effective business relationships with clients and all service providers (including hospitals, all medical institutions, brokers, etc.) to ensure the services required by the organisation are delivered in the most effective manner.
  • Supervise the preparation of claims processing reports in a timely and accurate manner to meet MedNet Group policies and standards, and department requirements.


  • Jeddah, Makkah Province, Saudi Arabia Tawuniya Full time

    Tawuniya, the largest Insurance company in the Middle East and North Africa, is seeking an experienced professional to lead its Western Region Office Brokers operations.Role Purpose:The successful candidate will be responsible for engaging with brokers, providing support and advisory services, validating targets and objectives, leading broker trainings, and...


  • Jeddah, Makkah Province, Saudi Arabia K20s - Kinetic Technologies Private Limited Full time

    K20s - Kinetic Technologies Private Limited is seeking a seasoned Business Analyst to join our team. This role requires someone with expertise in the Insurance sector, who can work closely with user departments to identify, define, and document business requirements.The successful candidate will analyze business requirements, ensuring adherence to internal...


  • Jeddah, Makkah Province, Saudi Arabia Tawuniya Full time

    Job DescriptionTawuniya is a leading insurance company in the Middle East, with over 13 billion SAR in revenue and a team of 2,000 employees.We offer a wide range of insurance products and services to our customers. Our sales team plays a crucial role in achieving our business goals.This role is focused on health product sales for corporate/key account...


  • Jeddah, Makkah Province, Saudi Arabia GRG Full time

    About GRGGRG is a major player in the region's development projects, offering a unique opportunity to make a real impact on infrastructure development.This role will report into a Director who is responsible for Design & Delivery. The ideal candidate will have experience working on Construction projects, specifically with FIDIC Contracts.What You'll Do:Lead...


  • Jeddah, Makkah Province, Saudi Arabia Health Full time

    BenefitsWe offer a comprehensive benefits package that includes:A competitive salary and bonus structure.A generous leave policy, allowing for ample time off to recharge.A range of health insurance options to suit individual needs.Professional development opportunities to enhance your skills and career progression.


  • Jeddah, Makkah Province, Saudi Arabia Hudson Manpower Full time

    Job Title: Administrative SpecialistWe are seeking an experienced Administrative Specialist to support our HSE teams in Saudi Arabia. The ideal candidate will have 5-10 years of experience in health and safety within the oil and gas industry.The successful candidate will maintain and organize HSE records, reports, and documentation, ensuring compliance with...


  • Jeddah, Makkah Province, Saudi Arabia Buruoj Engineering Consultant Full time

    What We OfferBuruoj Engineering Consultant offers a competitive salary and benefits package, including medical insurance, retirement plan, and paid time off. We also provide opportunities for professional growth and development, and a dynamic work environment that encourages collaboration and innovation.Benefits:Competitive salary.Medical...


  • Jeddah, Makkah Province, Saudi Arabia Raffles Hotels & Resorts Full time

    Job DescriptionRaffles Hotels & Resorts seeks an experienced Accounts Administrator to join our team.As a key member of our finance department, you will be responsible for reviewing and processing invoices, ensuring accuracy and compliance with company policies and local regulations. You will also manage vendor payments through various methods, including...


  • Jeddah, Makkah Province, Saudi Arabia Almarai Co Full time

    About the Role:The Divisional Personnel Manager is responsible for delivering personnel operations within the Manufacturing division, adhering to group policies and local regulations. This role involves collaborating with the Divisional H.R. Manager (Manufacturing) to provide administrative support for personnel activities.


  • Jeddah, Makkah Province, Saudi Arabia Alfanar Projects Full time

    Join Alfanar Projects as an Administrative Project Officer and contribute to the success of our organization. As an Administrative Project Officer, you will be responsible for performing planned activities to meet operational and development targets, utilizing resources effectively, providing regular reports, resolving problems, ensuring quality...


  • Jeddah, Makkah Province, Saudi Arabia GRG Full time

    We are seeking an Infrastructure Development Manager to join our team in Jeddah. This is a critical role that requires a high level of expertise in contract management, particularly within large-scale construction projects.You will work closely with various stakeholders to ensure that contracts are negotiated, administered, and executed effectively. This...


  • Jeddah, Makkah Province, Saudi Arabia Islamic Development Bank Full time

    About the RoleThe Islamic Development Bank is seeking an Administrative Expenses Professional to join our team. This role will be responsible for reviewing and verifying daily transactions/payment vouchers to ensure completeness and accuracy of payments.You will also ensure that payments are in line with the terms and conditions in the Contract with Vendors...


  • Jeddah, Makkah Province, Saudi Arabia Parsons Oman Full time

    Job Description:Parsons Oman seeks a highly skilled Commercial Director to lead our contract administration team on a major market program.Key Responsibilities:Provide technical guidance to assigned personnel and ensure proficiency in contract administration, making staffing assignments and reassignments as needed. Recruit, interview, and evaluate...


  • Jeddah, Makkah Province, Saudi Arabia Tawuniya Full time

    Required Skills and QualificationsTo succeed in this role, you will need:A bachelor's degree in business administration or a related field.No previous experience is required, but a strong background in sales is essential.Desirable Skills:Excellent communication and interpersonal skills.Strong negotiation and problem-solving skills.Ability to work in a...


  • Jeddah, Makkah Province, Saudi Arabia Islamic Development Bank Full time

    About the OpportunityThis Development Operations Manager position offers a unique opportunity to join the Islamic Development Bank's team and contribute to the success of our Trust Funds projects.Key ResponsibilitiesStrategic Planning:Contribute to the development of the Palestine Trust Funds (PTF) Strategic Framework and operational KPIs linked to PTF...


  • Jeddah, Makkah Province, Saudi Arabia Ejaro | إيجارو Full time

    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...


  • Jeddah, Makkah Province, Saudi Arabia Idaratech Platform - منصة إدارتك Full time

    Join Our TeamAs a Human Resources Specialist at Idaratech Platform, you will have the opportunity to make a meaningful impact on our employees' experiences. In this role, you will be responsible for:Developing and implementing HR initiatives to drive business outcomes.Managing employee benefits, compensation, and payroll processes to ensure compliance with...


  • Jeddah, Makkah Province, Saudi Arabia Idaratech Platform - منصة إدارتك Full time

    Company OverviewIdaratech Platform - منصة إدارتك is a cutting-edge software-as-a-service (SaaS) system proudly based in Saudi Arabia. Our platform leverages Artificial Intelligence to streamline HR operations across various companies in the region.Job DescriptionThis full-time on-site role as a Human Resources Specialist at Idaratech Platform in...


  • Jeddah, Makkah Province, Saudi Arabia Tawuniya Full time

    Tawuniya, the largest Insurance company in the Middle East and North Africa, is seeking an experienced Senior Director to lead its Western Region Office Brokers operations.Key Responsibilities:Promote Tawuniya amongst key brokers in the region to ensure the organization is the preferred insurer for key market players.Build and maintain healthy relationships...


  • Jeddah, Makkah Province, Saudi Arabia GRG Full time

    Job OverviewGRG is seeking a Senior Contract Manager to lead on large-scale infrastructure development projects. This role offers a significant opportunity to oversee and manage contracts for infrastructure projects, ensuring seamless execution from tender to post-contract stages.The ideal candidate will have experience working on Construction projects,...