196 Claims Processor jobs in Saudi Arabia

Responsibilities

• Evaluate prior authorization requests for medical necessity based on provided medical reports and documentation.
• Code medical services accurately and classify cases (inpatient, outpatient, emergency, etc.) as per standard clinical practices.
• Verify that all requested services comply with best medical practices and insurance policy terms.
• Identify, document, and report misuse or potential fraud cases, ensuring necessary preventive actions are implemented.
• Monitor utilization patterns, detect early warning signs, and recommend cost‑control measures.
• Respond promptly to inquiries from hospitals, clinics, and pharmacies to ensure smooth case coordination.
• Handle second opinion and case management requests and escalates complex cases to senior medical officers.
• Participate in night shifts and holiday rosters as assigned.
• Prepare daily and monthly activity reports as required by management.
• Validate the accuracy of services and pricing, identifying areas for cost optimization.
• Communicate with clients and providers in a professional and timely manner in accordance with company guidelines.
• Perform any other duties assigned by the direct supervisor related to the role.

• Bachelor’s or Master’s Degree in General Medicine & Surgery.
• Min 1 year of Saudi experience in medical approvals, insurance claims, or healthcare administration.
• Familiarity with medical coding systems (ICD‑10, CPT, HPCS used in Saudi Insurance claims).
• Strong understanding of clinical practices and medical policy interpretation.
• Proficiency in Microsoft Office and healthcare management systems.
• Excellent communication and coordination abilities.
• Strong analytical and decision‑making skills.
• Ability to handle multiple cases efficiently under pressure.
• Understanding of pre‑authorization and utilization review workflows in Saudi hospitals and TPAs.

Type of Employment: Permanent / Full‑time

Salary Range: SAR 7,000 – 12,000 based on experience

• Competitive salary package based on experience.
• Dynamic and growth‑oriented work environment.
• Training and career advancement opportunities.
• All other benefits as per Saudi Employment Law.

Job title:
Supervisor - Medical Claims Processing

Duties and Responsibilities:

Claims Processing Oversight

• Support the Manager in supervising daily claims / batch intake, validation, adjudication, and settlement activities.
• Ensure compliance with
  Nphies e-claims standards
  , coding standards, MDS and timeline specified per regulations.
• Monitor turnaround times (TAT) to meet internal and external service-level agreements (SLAs).

Quality Assurance & Compliance

• Assist in implementing internal controls to ensure claims accuracy and prevent fraud, waste, and abuse.
• Coordinate with internal audit and compliance teams to maintain adherence to CCHI guidelines and regulatory directives.
• Contribute to training programs for staff and providers on correct claims submission and reconciliation processes.

Discrepancy Resolution

• Oversee investigation of claim discrepancies, rejections, and denials, and ensure timely resolution.
• Support communication with healthcare providers, external and internal teams / stakeholders to address recurring issues.
• Escalate unresolved or high-impact discrepancies to the Senior Claims Manager with recommended solutions.

Stakeholder Management

• Act as deputy contact point for healthcare providers, external and internal stakeholders and claims staff.
• Provide guidance to healthcare providers on claims processing requirements and Nphies compliance.
• Participate in regular meetings with hospitals, clinics, and pharmacies to strengthen provider relations.

Reporting & Continuous Improvement

• Prepare operational dashboards and performance reports for management review.
• Support process re-engineering projects to reduce rejections and enhance claims accuracy.

People Management & Performance

This role is critical for the day-to-day leadership and performance development of the claims processing team, which is vital for a Tier 1 insurance company's operational excellence.

1. Team Oversight & Support:
   Supports the Manager in supervising daily claims intake, validation, adjudication, and settlement activities.
2. Training & Development:
   Contribute to training programs for staff and providers on correct claims submission and reconciliation processes.
3. Performance Management (Tactical):
   Oversee investigation of claim discrepancies, rejections, and denials, and ensure timely resolution. Identify trends in denials and contribute to corrective action plans.
4. Risk & Compliance Culture:
   Acts with due diligence to safeguard company interests. Maintain highest level of confidentiality.

KPI Monitoring, Reporting, and Continuous Improvement

This area transforms raw claims data into actionable insights for management, a non-negotiable for a large insurer focused on efficiency and cost control.

1. KPI Monitoring:
   Monitor turnaround times (TAT) to meet service-level agreements (SLAs). Support the oversight. of the end-to-end claims processing management cycle. TAT/SLA Compliance: Time taken from claim receipt to final settlement. First-Pass Ratio (FPR): Percentage of claims processed without manual intervention or rejection.
2. Reporting & Analysis:
   operational dashboards and performance reports for management review. Identify trends in denials.
3. Continuous Improvement:
   process re-engineering projects to reduce rejections and enhance claims accuracy.

Education:

Bachelor's degree in Medicine / Pharmacy, Healthcare Administration, Business Administration or Health Informatics.

Experience:

• Hands-on experience in Medical Claims Processing domain (3–5 years minimum)
• Healthcare Insurance & Regulatory Compliance (5+ years preferred)
• Understanding of Medical Claims Processing

Personal Attributes / Skills:

1. Integrity & Ethical Mindset
   – Strong moral principles to handle sensitive financial and healthcare data responsibly.
2. Attention to Detail
   – Ability to spot anomalies, inconsistencies, and patterns in data.
3. Analytical Thinking
   – Logical approach to problem-solving and decision-making.
4. Critical Thinking
   – Evaluating evidence to determine fraud risks and compliance gaps.
5. Persistence & Patience
   – Fraud investigations and reconciliations can be complex and time-consuming.
6. Communication Skills
   – Clear reporting of findings to internal teams, auditors, and regulators.
7. Confidentiality & Discretion
   – Handling sensitive patient and financial information with care.
8. Adaptability
   – Keeping up with evolving fraud schemes and regulatory changes.

Others:

• Fluency in Arabic language, working knowledge of the English language is an advantage.
• Proficiency in using Microsoft Office applications and database management.
• Ability to work independently and as part of a team to achieve network management goals.

Are you a medically qualified professional experienced in handling medical approvals and insurance coordination? Do you have a strong understanding of clinical evaluation and policy compliance? If so,
you are the one we are looking for

This is an excellent opportunity to join a reputed medical insurance company, where you will evaluate / approve treatment requests, prescriptions, ensure compliance with medical guidelines, and maintain accuracy in medical authorization processes while working closely with healthcare providers.

Key Responsibilities:

• Evaluate
  prior authorization requests
  for medical necessity based on provided medical reports and documentation.
• Code medical services
  accurately and classify cases (inpatient, outpatient, emergency, etc.) as per standard clinical practices.
• Verify that all requested services comply with
  best medical practices
  and
  insurance policy terms
  .
• Identify, document, and
  report misuse or potential fraud cases
  , ensuring necessary preventive actions are implemented.
• Monitor utilization patterns
  , detect early warning signs, and recommend cost-control measures.
• Respond promptly to inquiries from hospitals, clinics, and pharmacies to ensure smooth
  case coordination
  .
• Handle
  second opinion and case management requests
  and escalate complex cases to senior medical officers.
• Participate in
  night shifts and holiday rosters
  as assigned.
• Prepare daily and monthly activity reports
  as required by management.
• Validate the
  accuracy of services and pricing
  , identifying areas for cost optimization.
• Communicate with clients and providers in a professional and timely manner in accordance with company guidelines.
• Perform any other duties assigned by the direct supervisor related to the role.

Required Qualification / Experience / Skills:

• Bachelor's or Master's Degree in
  General Medicine & Surgery
  .
• Min 1
  year of Saudi experience in medical approvals, insurance claims, or healthcare administration.
• Familiarity with medical coding systems (ICD-10, CPT, HPCS used in Saudi Insurance claims.
• Strong understanding of clinical practices and medical policy interpretation
• Proficiency in Microsoft Office and healthcare management systems
• Excellent communication and coordination abilities
• Strong analytical and decision-making skills
• Ability to handle multiple cases efficiently under pressure.
• Understanding of
  pre-authorization
  and
  utilization review
  workflows in Saudi hospitals and TPAs.

Job Location: Al Khobar, Saudi Arabia

Type of Employment: Permanent / Full-time

Salary Range: SAR 7,000 – 12,000 based on experience

What you can expect from the employer:

Competitive salary package based on experience

Dynamic and growth-oriented work environment

Training and career advancement opportunities

All other benefits as per Saudi Employment Law

As an employee of our company, you will collaborate with each departmentto create and deploy disruptive products. Come work at a growing companythat offers great benefits with opportunities to moving forward and learnalongside accomplished leaders. We're seeking an experienced and outstandingmember of staff.
This position is both creative and rigorous by nature you need to thinkoutside the box. We expect the candidate to be proactive and have a "get it done"spirit. To be successful, you will have solid solving problem skills.

• Lead the entire sales cycle
• Achieve monthly sales objectives
• Qualify the customer needs
• Negotiate and contract
• Master demos of our software

• Bachelor Degree or Higher
• Passion for software products
• Highly creative and autonomous
• Valid work permit for Belgium

• Experience in writing online content
• Additional languages
• Strong analytical skills

• Great team of smart people, in a friendly and open culture
• No dumb managers, no stupid tools to use, no rigid working hours
• No waste of time in enterprise processes, real responsibilities and autonomy
• Expand your knowledge of various business industries
• Create content that will help our users on a daily basis
• Real responsibilities and challenges in a fast evolving company

Each employee has a chance to see the impact of his work.You can make a real contribution to the success of the company.
Several activities are often organized all over the year, such as weeklysports sessions, team building events, monthly drink, and much more

A full-time position
Attractive salary package.

12 days / year, including
6 of your choice.

Play any sport with colleagues,
the bill is covered.

Niceone, a trailblazer in e-commerce innovation, is expanding its commitment to operational excellence and digital efficiency. We are excited to offer a new opportunity for motivated and detail-oriented early-career professionals as a Data Entry team member. This position is ideal for individuals passionate about data accuracy, organization, and process improvement in a thriving e-commerce setting. Join Niceone and make an impact in a supportive, diverse environment dedicated to both your growth and the company's digital advancement.

Key Responsibilities – Data Entry Accuracy, Record Management, and Digital Data Processing

• Data Entry and Validation: Accurately input, update, and verify customer, order, and product data across our digital platforms and internal databases.
• Data Quality Assurance: Review entries for discrepancies, inconsistencies, or missing information, correcting errors to maintain high data quality standards.
• Record Organization: Organize and maintain digital files, ensuring all data is correctly formatted, stored, and easily accessible for internal teams.
• Process Compliance: Follow company policies and data management procedures to safeguard confidential information and support regulatory requirements.
• Reporting and Documentation: Assist in preparing data reports, summaries, and documentation for team leads and management as required.
• Collaboration: Work closely with customer care, logistics, and marketing teams to ensure the accurate and timely flow of data across all departments.
• Continuous Improvement: Suggest enhancements to data workflows and support the ongoing optimization of data entry processes.

Required Skills And Qualifications – Data Entry And Management Program

• Diploma or bachelor's degree in Business Administration, Information Management, Computer Science, or a related field.
• Proven attention to detail and commitment to data accuracy.
• Strong typing skills and proficiency with Microsoft Excel, Google Sheets, and digital data management tools.
• Basic analytical and problem-solving abilities to detect and resolve data discrepancies.
• Effective verbal and written communication skills in Arabic and English.
• Ability to work independently and as part of a collaborative team in a fast-paced environment.
• Discretion and integrity in handling confidential data.

Core Competencies – Thriving in a Data Entry Role at Niceone

• Highly organized with excellent time management skills.
• Adaptable and able to learn new digital tools and data entry systems quickly.
• Accountability, reliability, and professionalism in all job functions.
• Positive attitude, willingness to seek feedback, and a dedication to continuous improvement.
• Respect for diversity and inclusivity, valuing all perspectives in the workplace.

What Niceone Offers – Grow Your Data Management Career

• A collaborative and inclusive environment committed to growth, learning, and professional development.
• Access to cutting-edge digital tools and best practices in e-commerce data management.
• Coaching and mentorship from experienced professionals across multiple departments.
• Opportunities for advancement and permanent employment based on demonstrated performance.
• Flexible work arrangements to support work-life balance and wellbeing.

How to Apply – Start Your Data Entry Journey at Niceone

If you are enthusiastic about contributing to Niceone's digital transformation through accurate data management, we encourage you to apply for our Data Entry position today. We invite applications from candidates of all genders, backgrounds, and experiences, and are committed to an equitable and empowering workplace. Elevate your career—submit your application and join Niceone in shaping the next chapter of e-commerce innovation

Posted On: Wednesday, October 15th, 2025

Description

Job Summary:

The Controlled & Narcotic Drug Data Entry Clerk is responsible for accurately recording, maintaining, and monitoring all transactions related to controlled and narcotic drugs in compliance with hospital policies, Ministry of Health (MOH) regulations, and other relevant legal requirements. The role ensures proper documentation, traceability, and reporting to support safe and effective medication management.

Key Responsibilities:

• Accurately enter all controlled and narcotic drug transactions (receiving, dispensing, returns, destruction) into the approved system and logbooks.
• Maintain and update daily narcotic balance records in accordance with MOH and hospital policies.
• Ensure that all entries are verified and signed by the authorized personnel.
• Coordinate with pharmacy staff, nursing units, and controlled drug custodians to reconcile records regularly.
• Generate daily, weekly, and monthly reports related to controlled and narcotic drugs.
• Support internal and external audits by providing accurate data and required documentation.
• Report any discrepancies or unusual activities immediately to the Narcotic Officer / Pharmacy Manager.
• Assist in maintaining strict security and confidentiality of controlled drug records.
• Participate in training and ensure full compliance with legal and institutional guidelines.

Requirements

Qualifications and Requirements:

• Bachelor's degree in Pharmacy or a related healthcare field.
• Minimum 1 year of experience in pharmacy or medical data entry (preferred experience with narcotic and controlled drugs).
• Familiarity with MOH regulations related to controlled substances.
• Proficiency in computer systems and data entry software.
• Excellent attention to detail, accuracy, and organizational skills.
• Ability to work under pressure and maintain confidentiality.

Skills and Competencies:

• Strong communication and coordination skills.
• High level of accuracy and accountability.
• Knowledge of pharmaceutical terminology and documentation standards.
• Ability to work effectively in a team and with minimal supervision.
• Strong ethical and compliance mindset.

Languages

(Data Entry Position, Located In: Riyadh)

About Us:

Abunayyan Holding, established in 1950, is a leading company with over 4,500 employees across Saudi Arabia, East Asia, and North Africa. We operate in various industries including gas, energy, oil, and water, and manage 14 strategic business units. Our mission is to drive sustainable growth and innovation through dedicated professionals who share our commitment to excellence.

Job Description:

We are looking for a talented and motivated
Data entry
to join our dynamic team. The successful candidate will play a key role in
Low-Risk degree.
This position offers an exciting opportunity.

Key Responsibilities and Job Specific technical Skills:

• Excellent communication skills both verbal and written, and attention to detail
• Excellent computer and system skills, including Microsoft Excel, Word, etc.
• Strong desire to work with people, on the manufacturing floor and with customer interface, excellent follow-up and execution skills.

Requirements:

• At less diploma degree with 1-2 years' experience in similar role with switchgear manufacturing factory.
• Previous experience with SAP is a plus.
• Capable of managing and prioritizing multiple time-sensitive tasks in a dynamic environment
• Demonstrates analytical skills with data and problem resolution

What We Offer:

• Opportunities for career growth and development.
• A collaborative and innovative work environment.
• A lot of competitive advantage
• If you are interested and ready to join a forward-thinking team and want to know more, please submit your application through LinkedIn here.

We look forward to hearing from you

Good Luck

• Working on collecting information and examining it to ensure its accuracy.
• Entering data and customer account information from documents and completing this process within the previously specified deadline.
• Ensuring no mistakes, shortcomings, or conflicts occur in the data entry process, in addition to ensuring the accuracy of the obtained results.
• Collecting and sorting data sources in order to prepare and process these sources for the task of entering them into the computer.

Required Qualifications and Experience:

• High school diploma or higher.
• No previous experience required, proficiency in using computers, especially Microsoft Office programs, is preferred.
• Communication and interpersonal skills.
• Possessing tact and a presentable appearance.
• Preference for individuals with disabilities.

Responsibilities

• Registers incoming products, compile docs, update the products in WMS and submit docs to finance


• Checks the quantity of goods received and ordered are accurate.


• Checks the products received are in good condition and accurate in order not to have any trade returns due to damages or delivery mistakes

• Record stocks removed from storage area


• Track and monitor stocks of raw materials on daily basis and replenish as per business requirements


• Manage daily, weekly and monthly counts

• Consolidates orders from Customer service and process the order on the system


• Acts as the link between the sales & logistics team to ensure products are dispatched on time.


• Communicates with sales any returns/issue during delivery

• Degree or diploma


• At least 2 year of experience in an administrative role within a production or distribution environment


• Computer proficiency


• English Language is a must

• Associate

• Full-time

• Supply Chain

• Food and Beverage Manufacturing and Food and Beverage Services