walaa

Walaa Cooperative Insurance Co. in Saudi Arabia seeks an experienced Claims Specialist to review outpatient and inpatient claims, verify policy coverage, ensure proper documentation, and validate medical coding.The role emphasizes policy compliance, cost control, and timely processing with collaboration across medical providers and internal teams. The ideal...

**Key responsibilities:** - Handle inquiries received through WhatsApp groups, emails, telephone calls, CRM systems, and other approved communication channels. - Provide professional, courteous, and timely responses while maintaining excellent customer service standards. - Take ownership of each case from receipt until final resolution, ensuring continuous...

Responsibilities:Identifies pursues and closes business opportunities with a view to leverage the companys image and also maximize crossselling opportunities. Discusses and agrees sales targets and key performance indicators with line manager. Analyzes various market segments for different sectors and prepares business development plan. Follows up existing...

**Responsibilities**: - Identifies, pursues, and closes business opportunities with a view to leverage the company’s image and also maximize cross-selling opportunities. - Discusses and agrees sales targets and key performance indicators with line manager. - Analyzes various market segments for different sectors and prepares business development plan. -...

**Key responsibilities:** **Process Analysis, Modelling & Design:** - Analyze end-to-end business processes and workflows to identify inefficiencies, control gaps, bottlenecks and improvement opportunities. - Lead process discovery and documentation sessions with business stakeholders and subject matter experts. - Design and document optimized As-Is and...

Key Responsibilities 1. Claims Processing & Adjudication Review and process outpatient, inpatient, and reimbursement claims. Validate claims against policy coverage, exclusions, and limits. Ensure completeness of documentation (medical reports, invoices, prescriptions, discharge summaries). Validate medical coding (ICD, SBS) and ensure alignment with...

**Responsibilities**: - Follow up and collect payments for overdue balances in respect of Eastern Region daily basis Undertake account reconciliations and send client statements on monthly basis or upon the client’s request. - Open new AR customer master account for brokers and clients for Eastern Region - Send a regional collection summery on a monthly...

**Interior Designer Job Description: Top Duties and Qualifications** An Interior Designer oversees the design and decorative process for working areas from start to finish. Their main duties include sketching various design plans, determining costs for different projects, and sourcing materials and products for the designs. **Interior Designer duties and...

**Role Information** **Position Title: Business Enablement** **Lead** **Reports to:** Business Enablement Director **Role Description** The Business Enablement Lead drives operational excellence and ensures the successful execution of business strategies by enabling cross-functional collaboration, optimizing processes, and providing business intelligence...

Departmental Identifies, pursues, and closes business opportunities to maximize sales and business growth. Analyzes market segments across different sectors and develops business opportunities. Follows up with existing clients and ensures timely policy renewals. Presents the company’s products and services to prospective clients and...