Medical Claims Specialist

2 weeks ago


Dhahran, Saudi Arabia Walaa Cooperative Insurance Co Full time

**Responsibilities**

Under the overall guidance and supervision of the Asst. Claims manager, the Claims officer will perform:

- Carrying out day to day activities as per the instruction given by the Asst. Medical Claims Manager.
- Processing of RI claims:

- Maintain healthy relationship with other departments of company.
- SAMA & CCHI Rules and Regulations.
- Follow up with TPA in claims
- Liaising with account department for RI payments
- Claims payments as per SAMA guidelines
- Complying with inter departments SLA

**Education**:

- Bachelor degree of Insurance / Account / Finance

**Experience**:
0-3 years of underwriting experience

**requirements**:

- Fluency in English & Arabic language
- must be Dr with license to practice

**Personal Attributes / Skills**:

- Knowledge of medical terminologies
- Attention to detail
- Planning and Organizing skills Report writing skills



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