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Medical Insurance Doctor

2 weeks ago

Jeddah, Saudi Arabia Islamic Development Bank Full time

Required Background

Key Responsibilities

1. **Insurance Transactions**:

- Manage and oversee all health insurance-related transactions, including preauthorization, claims processing, and reimbursements.
- Liaise with healthcare providers to ensure accurate and timely resolution for provider the services to the beneficiaries.
- Verify and validate medical documentation for insurance purposes.
- Provide expert medical input to resolve disputes or discrepancies in insurance claims.

2. **Staff Welfare and Wellness**:

- Develop, implement, and monitor employee wellness programs to promote physical and mental well-being.
- Conduct health education sessions and workshops for staff on topics such as stress management, nutrition, and preventive care.
- Provide medical consultations and support to employees as needed.
- Collaborate with HR to design policies that enhance staff welfare and productivity.

3. **Communication and Customer Care (Mosanada Program - HSCD Assistance after working hours, during weekends and official holidays)**:

- Serve as the primary point of contact for insurance-related inquiries from employees and external stakeholders.
- Ensure clear and effective communication between the organization, insurance providers, and healthcare professionals.
- Address employee concerns related to health insurance and wellness programs promptly and professionally.

4. **Healthcare Market Networking**:

- Leverage existing connections in the healthcare market.
- Stay updated on industry trends and regulations to ensure compliance and optimize services.

5. **Administrative and Technical Tasks**:

- Maintain accurate records of insurance transactions and employee wellness activities.
- Utilize computer software and tools to manage data, generate reports, and streamline processes.

Academic and Professional Qualifications
- Bachelor's degree in Medicine and Surgery.
- Master's degree in healthcare management.
- 5-7 years of experience in the insurance field.

Languages
- English - Mandatory
- Arabic - Preferred