Claims Manager (Saudi National)

دوام كامل في a Laimoon Verified Company في Saudi Arabia

نُشرت يوم February 23, 2025

تفاصيل الوظيفة

MedNet is one of the leading managed care service organizations that caters to healthcare needs and offers protection against unforeseen health risks. We are looking for a Claims Manager who will plan and manage the data entry and claims processing operations of the assigned MedNet in order to ensure the delivery of superior claims handling services to customers within the defined turnaround times (TAT) in accord with established policies and corporate guidelines to support the achievement of MedNet's revenue targets and overall business objectives.Your JobPlan resources, manage and control overall claims processing operations for provider network and insured member direct, ensuring provision of prompt services to clients and thus supporting achievement of the overall MedNet Saudi Arabia goals and objectives and optimum customer satisfaction.Settle claims as per prescribed/designated financial authorities; ensure reserves are established/maintained for reported claims as per agreed procedures and review of claims is taken up periodically.Act as an external auditor for claims/approvals which are above the defined level in order to sign off prior to forwarding to the concerned department/Managing Director.Maintain close rapport with major clients; visit/meet clients; discuss claims, claims procedures or other matters and adopt the best way forward for resolution of such matters.Act as the contact person to insurance providers, members, and insurance companies in order to ensure effective troubleshooting in the event of any issues regarding claims.Motivate subordinates and identify opportunities for continuous improvement of claims processing systems, processes, and practices taking into account international leading practices, improvement of business processes, cost reduction, and productivity improvement.Maintain effective business relationships with clients and all service providers (including hospitals, all medical institutions, brokers, etc.) to ensure the services required by the organisation are delivered in the most effective manner.Supervise the preparation of claims processing reports in a timely and accurate manner to meet MedNet Group policies and standards, and department requirements.Your ProfileDiploma in business management or Para-Medical Courses is preferred.8 years' experience in claims processing out of which 4 years in managerial/supervisory level.5 years of experience in a similar environment with at least 2 years in a senior supervisory level in claims management.

#J-18808-Ljbffr Compliance & Regulatory Affairs

Apply safely

To stay safe in your job search, information on common scams and to get free expert advice, we recommend that you visit SAFERjobs, a non-profit, joint industry and law enforcement organization working to combat job scams.

الشركة المعلنة عن الوظيفة

Confidential

تحسين فرصتك لحصول على وظيفة خذ دورة عبر الإنترنت على الإدارة والقيادة والأعمال التجارية ابتداءً من الآن.

Business Pricing Strategies International Open Academy

73 درهم
~~291 درهم~~

مدة الدورة التدريبية: 30 Hours

التسجيل
Managerial Skills Knowledge Door

93 درهم
~~1,396 درهم~~

مدة الدورة التدريبية: Upto 2 Hours

التسجيل

انظر جميع الدورات

See All Claims Jobs

Claims Manager (Saudi National)

تفاصيل الوظيفة

Apply safely

الشركة المعلنة عن الوظيفة

Confidential

Managed Pressure Drilling

Oil Reservoir Management Engineer

Oil Reservoir Management Engineer

DRILLER - LAND OPERATIONS - SAUDI ARABIA

CHIEF MECHANIC - LAND RIG OPERATIONS - SAUDI ARABIA

Project Manager

Affiliate Alignment Project Management Officer

Project Manager

Group Advisory Project Management Officer

Affiliate Alignment Project Management Officer

Group Advisory Project Management Officer

Joint Ventures Management Professional

Joint Ventures Management Professional

Hiring - Engineers - Saudi Arabia

LAND OPERATIONS - RIG SUPERINTENDENT - SAUDI ARABIA

ASSISTANT RIG SUPERINTENDENT - SAUDI ARABIA

RIG MANAGER - OFFICE BASED DRILLING OPERATIONS - SAUDI ARABIA

Offshore Installation Manager

CHIEF MATE - OFFSHORE SAUDI ARABIA

الوظائف

الدورات التدريبية

الموقع

تواصل معنا

الصفحة الرئيسية المملكة العربية السعودية Claims Manager (Saudi National)

الصفحة الرئيسية المملكة العربية السعودية Claims Manager (Saudi National)

Claims Manager (Saudi National)

تفاصيل الوظيفة

Apply safely

الشركة المعلنة عن الوظيفة

Confidential

Similiar Jobs that might interest you

Managed Pressure Drilling

Oil Reservoir Management Engineer

Oil Reservoir Management Engineer

DRILLER - LAND OPERATIONS - SAUDI ARABIA

CHIEF MECHANIC - LAND RIG OPERATIONS - SAUDI ARABIA

Project Manager

Affiliate Alignment Project Management Officer

Project Manager

Group Advisory Project Management Officer

Affiliate Alignment Project Management Officer

Group Advisory Project Management Officer

Joint Ventures Management Professional

Joint Ventures Management Professional

Hiring - Engineers - Saudi Arabia

LAND OPERATIONS - RIG SUPERINTENDENT - SAUDI ARABIA

ASSISTANT RIG SUPERINTENDENT - SAUDI ARABIA

RIG MANAGER - OFFICE BASED DRILLING OPERATIONS - SAUDI ARABIA

Offshore Installation Manager

CHIEF MATE - OFFSHORE SAUDI ARABIA

لماذا تقوم بالإبلاغ عن هذه الوظيفة؟

تنبيه الوظائف الشاغرة من ليمون fresh jobs directly from websites*

الوظائف

الدورات التدريبية

الموقع

تواصل معنا