Medical Consultant

6 days ago


Riyadh, Ar Riyāḑ, Saudi Arabia Gulf Insurance Group Full time
Job Summary

We are seeking a highly skilled Medical Board Consultant to join our team at Gulf Insurance Group. As a key member of our medical team, you will be responsible for handling relations with medical providers, analyzing prior-approval requests, and supervising in-patient claims.

Key Responsibilities
  • Medical Provider Relations: Negotiate discounts, study price lists, handle reconciliations, and visit medical providers regularly to ensure smooth operations.
  • Prior-Approval Requests: Analyze and negotiate cases with medical providers, approve cases when agreements are reached, and enter claims into our IT system.
  • In-Patient Claims: Supervise and visit patients during their hospitalization to ensure timely and accurate claims processing.
  • Medical Advice: Provide guidance on medical basics and practice to support our claims administrators.
  • Claims Administration: Assist medical claims administrators in processing claims and validating medical information in our IT system.
  • Client Communication: Communicate with insured members regarding their claims and any requests from them.
  • Training and Development: Drive training and information seminars on our medical products to clients, prospects, and internal sales forces.
  • Confidentiality: Ensure that all medical information is kept confidential and in accordance with our company's policies.
Requirements
  • Education: Bachelor's Degree in MBBS (Medical Bachelor, Bachelor of Surgery) or equivalent.
  • Experience: Minimum 2 years of experience in a related field.
  • Qualifications: Tertiary education and medical degree required.

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