103 Claims Specialist jobs in Saudi Arabia

Job Title: Claims / Approvals Officer

Department: Medical Claims / Insurance Approvals

Location: (Riyadh, Saudi Arabia)

Reports to: Claims Manager / Approvals Supervisor

Job Purpose:

To review, process, and validate medical claims and approval requests in accordance with company policies and insurance guidelines, ensuring accuracy, compliance, and timely decision-making to support operational efficiency and customer satisfaction.

Key Responsibilities:

• Review and assess medical claims and pre-approval requests submitted by healthcare providers.
• Ensure all claims are compliant with insurance policies, coverage limits, and contractual agreements.
• Coordinate with medical teams and insurance companies to verify medical necessity and eligibility.
• Approve or reject claims based on established criteria and documentation.
• Maintain accurate records of claims decisions and approvals in the system.
• Respond to inquiries from internal departments, providers, and insurers regarding claim status.
• Identify and escalate suspicious or fraudulent claims for further investigation.
• Support continuous improvement of claims processing procedures.
• Ensure timely processing to meet service level agreements (SLAs).

Qualifications:

• Bachelor's degree in healthcare administration, Insurance, Business, or a related field.
• Knowledge of medical terminology, insurance policies, and healthcare procedures.
• Language Requirement: Fluency in both Arabic and English (spoken and written) is mandatory.

Experience:

• 2–4 years of experience in medical claims processing, insurance approvals, or healthcare administration.
• Familiarity with claims management systems and electronic health records (EHR).
• Experience working with insurance companies or third-party administrators (TPAs).
• Understanding of regulatory and compliance standards in healthcare claims.

Soft Skills:

• Attention to Detail: Ensures accuracy in claim reviews and documentation.
• Analytical Thinking: Evaluates complex medical and insurance data to make informed decisions.
• Communication Skills: Effectively communicates with providers, insurers, and internal teams.
• Time Management: Handles multiple claims and approvals within tight deadlines.
• Integrity and Confidentiality: Maintains discretion and ethical standards in handling sensitive information.
• Problem-Solving: Resolves claim discrepancies and approval issues efficiently.
• Customer Service Orientation: Responds professionally to inquiries and ensures stakeholder satisfaction.
• Adaptability: Works well in a fast-paced and evolving regulatory environment.

Job Types: Full-time, Contract

Contract length: 12 months

Pay: ﷼5, ﷼7,500.00 per month

The Role

We are seeking a dedicated Customer Service Specialist to join a growing investment firm in Riyadh. The ideal candidate will provide exceptional support to clients, ensuring a seamless and professional experience as they navigate investment opportunities and services. Responsibilities: - Respond to client inquiries promptly and professionally via phone, e-mail, and in-person. - Assist clients with account setup, updates, and investment product information. - Resolve customer issues and complaints efficiently, escalating complex cases as necessary. - Maintain accurate records of customer interactions and transactions. - Collaborate with internal teams to improve client experience and service delivery. - Stay updated on company investment products, policies, and industry trends to provide accurate information.

Requirements

• Proven experience in customer service, preferably in the investment or financial sector, within KSA. - You will need to hold a CME-1 certificate. - Strong communication skills in English and Arabic, both verbal and written. - Ability to handle sensitive information with confidentiality. - Bachelor's degree in business, finance, or related field is preferred.

About the company

At Hays, we invest in lifelong partnerships that empower people and businesses to succeed. With over 50 years success under our belts and a workforce of 10,000+ people across 32 countries, weve evolved to put our customers at the heart of everything we do. So much more than a specialist recruitment business, what really sets us apart is our knowledge through scale, deep understanding and our ability to meaningfully innovate for our customers. By providing advice, insights and expertise on issues you face today in the fast-paced world of work, we help you make the right decisions for tomorrow. Offering an unrivalled suite of recruitment and workplace solutions, whether youre looking for whats next in your career, or have a gap to fill, well help you get where you want to go. You can rely on us to deliver today and help you plan for tomorrow.

To ensure customer satisfaction and loyalty by delivering professional service, managing inquiries, maintaining accurate client records, and supporting internal teams through proactive communication and feedback reporting.

Responsibilities:

• Answer incoming phone calls, emails, chats promptly and professionally.
• Receive and process customer inquiries from all marketing channels, including online orders, and ensure they are entered into the CRM system.
• Provide customers with basic product/service information and direct them to the right contact when necessary.
• Maintain a courteous, welcoming, and service-oriented approach in all customer interactions.
• Regularly update and maintain the CRM system with accurate contact details, communication history, and notes.
• Coordinate with relevant internal departments to ensure customer issues are addressed and resolved efficiently.
• Follow up with customers after order delivery to ensure satisfaction and collect feedback.
• Proactively reach out to inactive customers to identify reasons and re-engage them.
• Generate monthly reports on customer activity, feedback, and engagement trends.
• Share insights with the marketing team to support service improvement initiatives.

Qualifications:

• Bachelor's degree in Business, Marketing, or a related field.

• Strong written and verbal communication skills.

• She should have high level of interpersonal and customer handling skills.

• Proficiency in Arabic and English is a strong advantage.

Please send you're your CV to

Customer Service & Order Processing Specialist

Location:
Jeddah, Saudi Arabia

Job Type:
Full-time

About the Role

We are looking for a motivated and detail-oriented Customer Service & Order Processing Specialist to join our growing e-commerce team. You will be the key point of contact for our customers, ensuring they enjoy a smooth shopping experience from placing their orders to receiving them.

Key Responsibilities

•  Handle customer inquiries via phone, email, and chat in a professional and timely manner.

•  Process, review, and manage online orders from confirmation to delivery.

•  Coordinate with warehouse and delivery partners to ensure accurate and on-time shipments.

•  Resolve customer complaints and provide effective solutions to maintain high satisfaction levels.

•  Track and follow up on pending or delayed orders, keeping customers updated.

•  Maintain accurate records of customer interactions and transactions.

Qualifications

•  1–3 years of experience in customer service, preferably in e-commerce or retail.

•  Strong communication skills in both Arabic and English.

•  Good organizational and multitasking abilities with attention to detail.

•  Proficiency in MS Office and familiarity with e-commerce platforms such as Salla & Zid.

What We Offer

•  Competitive salary.

•  A dynamic and supportive work environment.

•  Growth opportunities within a fast-growing e-commerce business.

•  Training and development programs to enhance your skills.

Exciting Customer Service Opportunities for Saudi Nationals( Subject to Contract Award)

Are you passionate about delivering exceptional service and ready to grow your career with a global leader?

Serco is looking for talented Saudi Nationals to join our Customer Service Talent Pool for upcoming roles across the Kingdom of Saudi Arabia. With over 4,500 team members in the Middle East, we're committed to building futures and supporting national development.

Express your interest today and take the first step toward a rewarding career with Serco.

Responsibilities :

• Oversee and manage the daily influx of leads for specific products of D&B.
• Handle client communication professionally, providing information about service offerings, addressing inquiries from existing clients, and supporting sales in fresh inquiries.
• Maintain a detailed record of inquiries, requests, complaints, and comments, ensuring follow-up with the relevant parties to facilitate necessary actions.
• Liaison with other departments to ensure timely fulfillment of deliverables.
• Direct requests to the appropriate individuals or teams for resolution.
• Cultivate and nurture professional relationships with existing customers.
• Be knowledgeable about all existing offerings of D&B.
• Provide accurate and comprehensive information as needed.
• Lead efforts in maintaining and updating the customer database.
• Contribute to research activities and play a key role in generating sales leads.

Education :

Graduate

Work Experience :

• 3-5 years of experience in managing corporate customers and B2B customer service.

Other Skills/Requirements :

• Proven track record in customer service, corporate customer service preferred.
• Strong communication and interpersonal skills.
• Demonstrated ability to work effectively in a team.
• Customer-oriented with active listening skills.
• Ability to multitask, prioritize, and manage time efficiently.
• Thrives in a high-pressure work environment.
• Ability to manage different stakeholders simultaneously.
• Ability to engage clients and manage expectations.