12 Claims Manager jobs in Saudi Arabia

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To manage all project-related claims, contractual disputes, and compliance activities, ensuring adherence to legal standards, regulatory requirements, and internal policies. This role safeguards the organization’s interests through proactive claims management and rigorous compliance oversight. Ensure Preparation of Legal Forms for initiation replies to Client based on contractual terms and conditions.

Accountabilities and Activities

Claims Management

• Review, assess, and process claims from clients, subcontractors, or internal teams. Prepare claim documentation and negotiation strategies.
• Coordinate with legal teams to resolve contractual and project disputes efficiently. Maintain legal records and case files.

Compliance Oversight

• Ensure organizational compliance with laws, regulations, standards, and internal policies.

Audit & Reporting

• Conduct internal audits related to contracts and regulatory compliance. Report violations or risks with mitigation plans.
• Identify compliance risks and claim-related exposures across projects and propose proactive measures.

Contract Review & Advice

• Provide expert guidance on contractual language and claim prevention during contract review and execution.

Stakeholder Communication

• Liaise with clients, legal advisors, project managers, and government entities on claims and compliance matters.
• Conduct training sessions on compliance standards and claims procedures for project staff.

Knowledge and Experience:

• Minimum 7 years of experience in claims management and legal compliance within construction, engineering, or manufacturing industries
• Proven experience in handling complex contractual disputes and compliance audits
• Strong understanding of local and international regulations (e.g., FIDIC, ISO standards)

Education and Certifications:

• Bachelor's degree in law, Engineering, or Business (master’s preferred)
• Certification in Contract Management, Compliance, or Legal Risk Management (e.g., CCM, CCEP, PMP)
• Excellent command of legal documentation and analytical tools

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Legal
• Industries Retail

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We are seeking a talented individual to join our Claims Management team at Marsh McLennan. This role will be based in a larger country and is a hybrid role that has a requirement of working at least three days a week in the office. The Claims Manager II will lead a team managing multiple product lines and a major client portfolio with claims exceeding $75M, ensuring high performance and client satisfaction.

We will count on you to:

• Proactively manage departmental performance to achieve quality, compliance, and productivity targets.
• Lead operational activities, manage workloads, and ensure team performance meets client agreements and regulatory requirements.
• Oversee service delivery, ensuring adherence to compliance and professional standards while resolving business issues.
• Manage complex claims and negotiations, providing expertise and guidance to colleagues and stakeholders.

What you need to have:

• Bachelor’s Degree or equivalent university degree; CII qualification preferred.
• At least 7-10 years of work experience, with a minimum of 7 years in claims/technical insurance or financial services and 5 years in management.
• Strong communication, organizational, and interpersonal skills, with proficiency in Microsoft Office tools.

What makes you stand out:

• Proven experience in resource and cost management within the insurance market.
• Strong leadership qualities and the ability to influence multiple stakeholders.
• Experience in handling complex negotiations and managing significant value claims.

Why join our team:

• We help you be your best through professional development opportunities, interesting work, and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues, clients, and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh, a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

We are seeking a talented individual to join our Claims Management team at Marsh McLennan. This role will be based in a larger country and is a hybrid role that has a requirement of working at least three days a week in the office. The Claims Manager II will lead a team managing multiple product lines and a major client portfolio with claims exceeding $75M, ensuring high performance and client satisfaction.

We will count on you to:

• Proactively manage departmental performance to achieve quality, compliance, and productivity targets.
• Lead operational activities, manage workloads, and ensure team performance meets client agreements and regulatory requirements.
• Oversee service delivery, ensuring adherence to compliance and professional standards while resolving business issues.
• Manage complex claims and negotiations, providing expertise and guidance to colleagues and stakeholders.

What you need to have:

• Bachelor’s Degree or equivalent university degree; CII qualification preferred.
• At least 7-10 years of work experience, with a minimum of 7 years in claims/technical insurance or financial services and 5 years in management.
• Strong communication, organizational, and interpersonal skills, with proficiency in Microsoft Office tools.

What makes you stand out:

• Proven experience in resource and cost management within the insurance market.
• Strong leadership qualities and the ability to influence multiple stakeholders.
• Experience in handling complex negotiations and managing significant value claims.

Why join our team:

• We help you be your best through professional development opportunities, interesting work, and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues, clients, and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh, a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

Senior Manager - Claims Advisory Marsh & McLennan Companies, Inc. Khobar, Saudi Arabia

Company:
Marsh

Description:

We are seeking a talented individual to join our Claims Management team at Marsh McLennan. This role will be based in a larger country and is a hybrid role that has a requirement of working at least three days a week in the office. The Claims Manager II will lead a team managing multiple product lines and a major client portfolio with claims exceeding $75M, ensuring high performance and client satisfaction.

We will count on you to:

• Proactively manage departmental performance to achieve quality, compliance, and productivity targets.
• Lead operational activities, manage workloads, and ensure team performance meets client agreements and regulatory requirements.
• Oversee service delivery, ensuring adherence to compliance and professional standards while resolving business issues.
• Manage complex claims and negotiations, providing expertise and guidance to colleagues and stakeholders.

• Bachelor's Degree or equivalent university degree; CII qualification preferred.
• At least 7-10 years of work experience, with a minimum of 7 years in claims/technical insurance or financial services and 5 years in management.
• Strong communication, organizational, and interpersonal skills, with proficiency in Microsoft Office tools.

• Proven experience in resource and cost management within the insurance market.
• Strong leadership qualities and the ability to influence multiple stakeholders.
• Experience in handling complex negotiations and managing significant value claims.

• We help you be your best through professional development opportunities, interesting work, and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues, clients, and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

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Job Openings Senior Manager - Insurance Business Rules/RCM/Denial Management

Role Summary: Business Rules Senior Manager

• Responsible for managing the product image and its development though client Interface by connecting Content and Business teams(BDU)simultaneously.
• Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed in the same regard.
• Reviewing data analytics and extracting insights based on market payers, regulator protocols, claims denial trends and users feedback analysis is also a part of the role being performed.
• To ensure adherence to market billing standards and protocols, the Business Rules Sr. Manager will be expected to work closely with stakeholders like payers, regulators and healthcare providers, revenue cycle departments to analyze coding/billing issues to be compliant with regulatory policies or denials with payers in market of KSA

Primary Responsibilities:

1. Role act as a bridge between internal THYNK team and the management to communicate the vision and related development of the product.

2. Partnering with existing and potential clients to bring the vision for update to THYNK team.

3. Liaising with team regularly and reviewing the activities to support best in interest of the vision of the management.

4. Developing on functionalities that can best support product to groom as per market practice.

5. Should be able to work well under pressure and simultaneous reporting to multiple lines of management.

6. Monthly validating with analysis team and review of claim remittance reports across all the payers and simultaneous provision of feedback suggesting updates for the rule engine thereby decreasing denial trends for the clients and maximizing remittance output.

7. Regular analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation outcomes and optimizing end user experience.

8. Reviewing with internal teams clients historical denial reports establishing their trend analysis and target rules content profile to address their revenue integrity.

9. Apply effective communication skills (written and spoken) to communicate with all parties internal and external analyzing market insights and best market practice to produce accurate representation of the issues and the proposed solutions in the form of Rules Content definitions.

Job Requirements:

1. Minimum 10 years experience in the claim adjudication lifecycle and payer/TPA is a must.

2. Previous work experience with Data Analytics packages such as Power BI will be preferred.

3. Excellent Analytical skills and an eye for detail is a must.

4. Understanding of insurance adjudication guidelines and protocols in a way to comprehend best to enrich KSA Rules repository.

5. Recognized Professional Certification in Medical Coding will be a plus but not mandatory.

6. Should be well versed in KSA local market regulations and adjudication protocols.

7. Excellent verbal/written communication and presentation skills.

8. Proficiency in Healthcare Information Systems

9. Medical training as Doctor/Nurse/Pharmacist is highly desirable.

10. Certifications in Insurance and project management is highly desired

Join to apply for the Senior Manager - Insurance Business Rules/RCM/Denial Management role at SANTECHTURE

Join to apply for the Senior Manager - Insurance Business Rules/RCM/Denial Management role at SANTECHTURE

Role Summary: Business Rules Senior Manager

• Responsible for managing the product image and its development though client Interface by connecting Content and Business teams(BDU)simultaneously.
• Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed in the same regard.
• Reviewing data analytics and extracting insights based on market payers, regulator protocols, claims denial trends and users feedback analysis is also a part of the role being performed.
• To ensure adherence to market billing standards and protocols, the Business Rules Sr. Manager will be expected to work closely with stakeholders like payers, regulators and healthcare providers, revenue cycle departments to analyze coding/billing issues to be compliant with regulatory policies or denials with payers in market of KSA
  
  

• Role act as a bridge between internal THYNK team and the management to communicate the vision and related development of the product.
• Partnering with existing and potential clients to bring the vision for update to THYNK team.
• Liaising with team regularly and reviewing the activities to support best in interest of the vision of the management.
• Developing on functionalities that can best support product to groom as per market practice.
• Should be able to work well under pressure and simultaneous reporting to multiple lines of management.
• Monthly validating with analysis team and review of claim remittance reports across all the payers and simultaneous provision of feedback suggesting updates for the rule engine thereby decreasing denial trends for the clients and maximizing remittance output.
• Regular analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation outcomes and optimizing end user experience.
• Reviewing with internal teams clients historical denial reports establishing their trend analysis and target rules content profile to address their revenue integrity.
• Apply effective communication skills (written and spoken) to communicate with all parties internal and external analyzing market insights and best market practice to produce accurate representation of the issues and the proposed solutions in the form of Rules Content definitions.
  
  

• Minimum 10 years experience in the claim adjudication lifecycle and payer/TPA is a must.
• Previous work experience with Data Analytics packages such as Power BI will be preferred.
• Excellent Analytical skills and an eye for detail is a must.
• Understanding of insurance adjudication guidelines and protocols in a way to comprehend best to enrich KSA Rules repository.
• Recognized Professional Certification in Medical Coding will be a plus but not mandatory.
• Should be well versed in KSA local market regulations and adjudication protocols.
• Excellent verbal/written communication and presentation skills.
• Proficiency in Healthcare Information Systems
• Medical training as Doctor/Nurse/Pharmacist is highly desirable.
• Certifications in Insurance and project management is highly desired

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Finance and Sales
• Industries IT Services and IT Consulting

Referrals increase your chances of interviewing at SANTECHTURE by 2x

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

Job Openings Senior Manager - Insurance Business Rules/RCM/Denial Management

Role Summary: Business Rules Senior Manager

• Responsible for managing the product image and its development though client Interface by connecting Content and Business teams(BDU)simultaneously.
• Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed in the same regard.
• Reviewing data analytics and extracting insights based on market payers, regulator protocols, claims denial trends and users feedback analysis is also a part of the role being performed.
• To ensure adherence to market billing standards and protocols, the Business Rules Sr. Manager will be expected to work closely with stakeholders like payers, regulators and healthcare providers, revenue cycle departments to analyze coding/billing issues to be compliant with regulatory policies or denials with payers in market of KSA

Primary Responsibilities:

1. Role act as a bridge between internal THYNK team and the management to communicate the vision and related development of the product.

2. Partnering with existing and potential clients to bring the vision for update to THYNK team.

3. Liaising with team regularly and reviewing the activities to support best in interest of the vision of the management.

4. Developing on functionalities that can best support product to groom as per market practice.

5. Should be able to work well under pressure and simultaneous reporting to multiple lines of management.

6. Monthly validating with analysis team and review of claim remittance reports across all the payers and simultaneous provision of feedback suggesting updates for the rule engine thereby decreasing denial trends for the clients and maximizing remittance output.

7. Regular analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation analysis and review of bypass reports containing feedback from end users to improve the rules logic, quality and accuracy of validation outcomes and optimizing end user experience.

8. Reviewing with internal teams clients historical denial reports establishing their trend analysis and target rules content profile to address their revenue integrity.

9. Apply effective communication skills (written and spoken) to communicate with all parties internal and external analyzing market insights and best market practice to produce accurate representation of the issues and the proposed solutions in the form of Rules Content definitions.

Job Requirements:

1. Minimum 10 years experience in the claim adjudication lifecycle and payer/TPA is a must.

2. Previous work experience with Data Analytics packages such as Power BI will be preferred.

3. Excellent Analytical skills and an eye for detail is a must.

4. Understanding of insurance adjudication guidelines and protocols in a way to comprehend best to enrich KSA Rules repository.

5. Recognized Professional Certification in Medical Coding will be a plus but not mandatory.

6. Should be well versed in KSA local market regulations and adjudication protocols.

7. Excellent verbal/written communication and presentation skills.

8. Proficiency in Healthcare Information Systems

9. Medical training as Doctor/Nurse/Pharmacist is highly desirable.

10. Certifications in Insurance and project management is highly desired

Company:MarshDescription:

We are seeking a talented individual to join our Claims Solutions team at Marsh. This role will be based in Dubai and is a hybrid position that requires working at least three days a week in the office.

As a Senior Consultant specializing in major and complex loss, you will drive the preparation and quantification of substantial property damage insurance claims. Our Claims Solutions team is part of Marsh’s Advisory business and brings together specialists in forensic accountancy, surveying, engineering and adjusting to provide claim preparation, management, and consultancy services for our Clients. Significant experience in managing large and demanding claims is key to this role and experience in Energy, Power and Construction advantageous.

We will count on you to:

• Project manage the preparation of major and complex property damage claims, including gathering and analyzing relevant data and documentation.
• Accurately quantify damages and losses using industry-standard methodologies and tools.
• Serve as the primary point of contact for clients, providing expert advice and guidance throughout the claims process.
• Prepare detailed reports and presentations that clearly articulate findings, methodologies, and recommendations.
• Mentor and train consultants and support staff, fostering a collaborative work environment.
• Collaborate with legal teams, loss adjusters, and other stakeholders to facilitate the claims process and resolve disputes.

What you need to have :

• Qualified Adjuster or Engineer.
• Minimum of 5-7 years of experience in property damage insurance claims consulting or a related field, focusing on complex claims.
• Proficiency in MS Excel and strong analytical skills.

What makes you stand out?

• Track record in managing large and complex loss.
• Proven Experience with Energy, Power, and Construction claims is advantageous.
• Strong report writing and presentation skills.

What you will be rewarded with:

• Competitive salary and performance-based bonuses.
• Comprehensive benefits package.
• Opportunities for professional development and career advancement.
• A supportive work environment that values work-life balance.

Why join our team:

• We help you be your best through professional development opportunities, interesting work, and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients, and communities.

Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

We are seeking a talented individual to join our Claims Solutions team at Marsh. This role will be based in Dubai and is a hybrid position that requires working at least three days a week in the office.

As a Senior Consultant specializing in major and complex loss, you will drive the preparation and quantification of substantial property damage insurance claims. Our Claims Solutions team is part of Marsh’s Advisory business and brings together specialists in forensic accountancy, surveying, engineering and adjusting to provide claim preparation, management, and consultancy services for our Clients. Significant experience in managing large and demanding claims is key to this role and experience in Energy, Power and Construction advantageous.

We will count on you to:

• Project manage the preparation of major and complex property damage claims, including gathering and analyzing relevant data and documentation.
• Accurately quantify damages and losses using industry-standard methodologies and tools.
• Serve as the primary point of contact for clients, providing expert advice and guidance throughout the claims process.
• Prepare detailed reports and presentations that clearly articulate findings, methodologies, and recommendations.
• Mentor and train consultants and support staff, fostering a collaborative work environment.
• Collaborate with legal teams, loss adjusters, and other stakeholders to facilitate the claims process and resolve disputes.

What you need to have :

• Qualified Adjuster or Engineer.
• Minimum of 5-7 years of experience in property damage insurance claims consulting or a related field, focusing on complex claims.
• Proficiency in MS Excel and strong analytical skills.

What makes you stand out?

• Track record in managing large and complex loss.
• Proven Experience with Energy, Power, and Construction claims is advantageous.
• Strong report writing and presentation skills.

What you will be rewarded with:

• Competitive salary and performance-based bonuses.
• Comprehensive benefits package.
• Opportunities for professional development and career advancement.
• A supportive work environment that values work-life balance.

Why join our team:

• We help you be your best through professional development opportunities, interesting work, and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients, and communities.

Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh, a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.