42 Claims jobs in Saudi Arabia

Insurance Claims Adjuster

An Insurance Claims Adjuster is responsible for investigating insurance claims to determine the cause, extent, and value of a loss or damage. The goal is to ensure fair and accurate claim settlements in line with the policy terms. Claims adjusters assess the situation, review evidence, and prepare professional reports that support decision-making.

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Key Responsibilities:

• Investigate claims related to accidents, property damage, or other covered losses

• Interview claimants, witnesses, and relevant experts to gather facts

• Review insurance policies, reports, and supporting documents

• Accurately estimate repair or replacement costs

• Recommend fair and appropriate claim settlements

• Detect and report any potential fraud or inconsistencies

• Write clear, professional reports for insurance companies

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Required Skills:

• Strong English language skills (written and spoken) for professional report writing

• Excellent communication and negotiation abilities

• Analytical and investigative thinking

• High attention to detail and accuracy

• Basic knowledge of insurance policies, coverage, and claims procedures

• Ability to work independently under deadlines and pressure

Responsibilities:

• Reviewing claims in preparation for their submission to insurance companies
• Collecting, organizing, and storing claims files using computers and filing systems.
• Follow-up and Processing of claims complaints.
• Ensure to comply with the Insurance Company requirements.
• Complete logs, reports, forms and records to properly document medical claims.
• Filing all approved claims.
• Making and reviewing all claims bills for medical and non-medical services.
• Coordinate with the insurance specialist for speedy processing of patients’ documents.
• Identify and escalate customer issues to immediate Supervisor.
• Contribute to ensure all requirements documents are submitted for reimbursement claims.
• Inform the team for any new regulations of the insurance field.
• Coordinate with insurance specialist and billing team for any additional document support.
• Protects operations by keeping claims information confidential.
• Performs other related duties as assigned by management.

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Manage the Claims process and ensure it is communicated, followed up and settled in an efficient and timely manner as per the insurance guidelines.

• Claims Process: Register claims with relevant stakeholders, validate the insurance against the set policies and determine the claim size. Track claims from submittal to settlement. Conduct provider negotiations for insurance claims.
• Manage and handle all insurance claims such as P&I, H&M, GC, Crew, Legal, etc. Review and study contracts and reports to make effective claims management decisions. Liaise with P&I Clubs, Lawyers, agents network, Surveyors and Underwriters. Act as a technical expert in the insurance claim area.
• Relationship Management: Build and maintain strong relations with legal entities P&I Clubs, H&M Underwriters, Loss Adjuster and Brokers to ensure seamless business support.
• Reconcile claim’s summary for the Manager’s review in order to validate correct measures.
• Concepts & Policies: Define insurance claims guidelines and procedures to mitigate risk exposure and cost of insurance claims. Adopt and apply new professional strategies and policies within the area of responsibility in accordance with management directions.
• Identify and mitigate risk exposure for all insurance matters related to P&I and H&M Policies.

• Bachelor degree in Insurance Claims, Risk Management or equivalent.
• Minimum 4 years of relevant experience in Claims handling and Loss prevention.

• Qualification from The Chartered Insurance Institute (CII) is preferred.

• Associate

• Full-time

• Finance and General Business

• Transportation, Logistics, Supply Chain and Storage, Maritime Transportation, and Insurance

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Responsibilities:

• Reviewing claims in preparation for their submission to insurance companies
• Collecting, organizing, and storing claims files using computers and filing systems.
• Follow-up and Processing of claims complaints.
• Ensure to comply with the Insurance Company requirements.
• Complete logs, reports, forms and records to properly document medical claims.
• Filing all approved claims.
• Making and reviewing all claims bills for medical and non-medical services.
• Coordinate with the insurance specialist for speedy processing of patients’ documents.
• Identify and escalate customer issues to immediate Supervisor.
• Contribute to ensure all requirements documents are submitted for reimbursement claims.
• Inform the team for any new regulations of the insurance field.
• Coordinate with insurance specialist and billing team for any additional document support.
• Protects operations by keeping claims information confidential.
• Performs other related duties as assigned by management.

The Position
We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.

To be successful as a claim's processor, you should have excellent organizational and interpersonal skills. You should also be able to work under pressure and perform a range of clerical functions with great attention to detail.

Main Duties / Responsibilities

• A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
• Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.
• In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
• Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.
• Recording and maintaining insurance policy and claims information in a database system.
• Determining policy coverage and calculating claim amounts.
• Processing claims payments.
• Answering queries related to Policy coverage criteria and guidelines.
• Complying with federal, state, and company regulations and policies.
• Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.
• Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.
• Performing other clerical tasks, as required.

Requirements

• Medical Qualification Background will be an added advantage.
• At least 0 -2 years of experience as a claim's processor or in a related role.
• Knowledge of Medical Terminologies, CPT codes and ICD-9 codes.
• Working knowledge of the insurance industry and relevant federal and state regulations.
• Computer literate and proficient in MS Office.
• Excellent critical thinking and decision-making skills.
• Good administrative and organizational skills.
• Strong customer service skills.
• Ability to work under pressure.
• High attention to details

About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If
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Mace combines construction expertise with consultancy to unlock potential in every person or project and redefine the boundaries of ambition. Our values shape the way we consult and define the people we want to join us on our journey.

The Project
This is an opportunity to work on one of the largest programmes in Saudi Arabia. This unique project consists of major mixed-use development including sports facilities, entertainment, and arts along with all associated infrastructure.

Mace is one of the delivery partners requiring high-calibre and experienced professionals to lead integrated teams throughout each phase of the project.

Mace is currently providing programme management and looking for high-calibre, experienced professionals to lead integrated teams throughout each phase of the project.

You'll Be Responsible For

• Supporting the project teams in monitoring and controlling the performance of contracted services to ensure services are effective, meet statutory requirements and deliver the desired outcomes.
• Reviewing, developing and managing systems and procedures for the monitoring of the contracts and claims to ensure that contractual compliance issues are resolved both timely and effectively across multiple work packages, and applied consistently across the project delivery teams.
• Identifying recurring/potential recurring claims across the project delivery teams and offer support to mitigate.
• Providing advice regarding contract procurement and types of underlying contracts and agreements. Improving systems, processes and service delivery.
• Establishing structures and tools to support area plans and strategic outcomes.
• Driving continuous improvement and identifying business enhancements.
• Building relationships and influencing key stakeholders.
• Actively contributing to net-zero carbon goals by identifying, managing and reducing emissions throughout project delivery.

You'll Need To Have

• Necessary visa criteria for the Kingdom of Saudi Arabia and have relevant work experience working on high valued projects/ programmes for a project management consultancy business, which are required for immigration and client approval.
• Relevant MEA experience.
• Degree qualification.
• Chartered or relevant certifications such as MRICS
• Proven experience in the successful construction delivery phase of projects and programmes.

Our values
Safety first - Going home safe and well:
We champion a safe, diverse and inclusive working environment, understanding the importance of wellbeing in every team.

Client focus - Deliver on our promise:
We own the quality of deliverables, strategic outcomes and build long term relationships with our clients.

Integrity - Always do the right thing:
We influence positive outcomes within our industry, while always aligning with our compliance obligations.

Create opportunity - For our people to excel:
We champion a continuous improvement culture throughout all activities, inspiring our people and teams to develop.

Mace is an inclusive employer and welcomes interest from a diverse range of candidates. Even if you feel you do not fulfil all the criteria, please apply as you may still be the best candidate for this role or another role within our organisation.

We are also open to discussing part time, flexible, and hybrid working options if suitable with-in the role

Role Purpose:

To support the management of claims related to project contracts, delays, cost variations, and other project-related disputes. The Claims Officer ensures timely documentation, analysis, and reporting of all claim-related matters while helping protect the organization's contractual and financial interests.

Roles & Responsibilities:

• Prepare and compile all required documentation for claims, including time impact analyses, cost justifications, and supporting correspondence.

• Gather and analyze project records, reports, and schedules to identify claim entitlements.

• Assist in reviewing contract terms to identify rights and obligations related to claims.

• Assist in drafting, submitting, and tracking claims to clients, subcontractors, or vendors.

• Coordinate with legal or management teams to support the resolution of disputes or negotiations.

• Ensure that claims are raised in line with applicable contract terms, company policies, and regulatory requirements.

• Maintain claims register and generate periodic status reports.

• Liaise with project teams, subcontractors, and relevant departments for information gathering and clarification.

Knowledge and Experience:

• 2–4 years of experience in contract administration or claims within engineering, construction, or industrial sectors
• Familiarity with contractual frameworks (e.g., FIDIC) and claims handling procedures
• Basic knowledge of project scheduling and cost control

Education and Certifications:

• Bachelor's degree in Engineering, Business Administration, Law, or related field
• Certification in Contract or Claims Management is a plus (e.g., CCM, PMI-CP)
• Proficiency in MS Office (especially Excel, Word), and document management systems