4 Claims Processor jobs in Saudi Arabia

Claims Processor

Riyadh, Riyadh The Cigna Group

Posted 18 days ago

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Job Description

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 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 you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

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Claims Processor

Riyadh, Riyadh The Cigna Group

Posted 18 days ago

Job Viewed

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Job Description

The job profile for this position is Claims Senior Representative, which is a Band 2 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

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 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

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link .

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Claims Processor

Riyadh, Riyadh The Cigna Group

Posted 4 days ago

Job Viewed

Tap Again To Close

Job Description

**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 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_ _you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
This advertiser has chosen not to accept applicants from your region.

Claims Solutions Senior Consultant - Loss Adjuster / Engineering Background | Riyadh, SA

Marsh & McLennan Companies, Inc.

Posted 11 days ago

Job Viewed

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Job Description

workfromhome
Claims Solutions Senior Consultant - Loss Adjuster / Engineering Background

Claims Solutions Senior Consultant - Loss Adjuster / Engineering Background Marsh & McLennan Companies, Inc. Riyadh, Saudi Arabia

Claims Solutions Senior Consultant - Loss Adjuster / Engineering Background

Company:
Marsh

Description:

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.

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