Medical Claims Specialist

Responsibilities

• 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