Explore numerous insurance job opportunities in Medical Insurance Specialist
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Direct message the job poster from Tamkeen Human Resource (THR)
Responsibilities- Managing Medical Insurance Policies:
- Oversee employee medical insurance contracts and ensure timely renewals.
- Ensure all policies comply with agreed-upon terms and conditions with insurance providers.
- Maintain accurate and up-to-date records of insurance policies.
- Coordination with Insurance Companies:
- Communicate with insurance providers to resolve issues related to coverage or approvals.
- Negotiate with insurance companies to improve terms, coverage, and costs during renewals or additions.
- Follow up on medical claims to ensure accuracy and adherence to policy terms.
- Employee Support:
- Provide employees with guidance on insurance benefits and coverage details.
- Assist employees in submitting medical claims or obtaining necessary approvals.
- Address employee inquiries and resolve concerns related to medical insurance.
- Claims Management:
- Review medical claims submitted by employees to ensure compliance with policy terms.
- Follow up on claim reimbursements with insurance providers.
- Prepare periodic reports on claims and insurance costs.
- Employee Awareness:
- Conduct workshops or orientation sessions to educate employees on medical insurance policies.
- Explain the claims process and coverage benefits.
- Reporting and Analysis:
- Prepare regular reports on medical insurance performance, including costs and utilisation rates.
- Provide recommendations for improving insurance efficiency and reducing costs.
- Bachelor’s degree in Business Administration, Insurance, or a related field.
- 3 years of experience in medical insurance or human resources management.
- Strong communication and problem-solving skills.
- Good knowledge of medical insurance laws and related policies.
- Proficiency in computer skills and insurance management software.
- (English speaking and writing)
- Attention to detail and accuracy.
- Ability to work under pressure.
- Commitment to maintaining confidentiality.
- Seniority level: Mid-Senior level
- Employment type: Full-time
- Job function: Health Care Provider
- Industries: Human Resources Services
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Senior Manager - Insurance Business Rules/RCM/Denial Management
Riyadh, Riyadh, Saudi Arabia 21 hours ago
Digital Business Analyst (Insurance Sector)
Al Mithab, Riyadh, Saudi Arabia 2 days ago
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#J-18808-LjbffrCustomer Service Representative
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Global Exchange Group - is a Spanish multinational company, founded in 1996, specialized in foreign currency exchange services at international airports and other areas of great tourist influx. Global Exchange is one of the world leaders in the sector. With a network of over 375 branches at 66 international airports in 29 countries in 5 continents, our staff of over 2,400 offers our services to 12 million Customers every year. Through solid principles based on legality and transparency, technological innovation, excellence in customer service and the care of its human capital, Global Exchange Group aims to create value for all its stakeholders, among which are their customers, employees or the different partners. Its mission is to offer quality currency exchange services to all travellers worldwide based on two clear lines of business: Currency exchange services at international airports and hotel resorts and, online and telephone currency exchange services, offered to both private individuals and companies, especially travel agencies and banks.
Global Exchange Group headquarters are located in Salamanca and Madrid. Global Exchange Group is considered a Fintech company with innovative top technology systems developed internally, for the management and control of its own business and the service of its customers. Visit our website to learn more about us:
We are a dynamic and forward-thinking organization dedicated to fostering growth, innovation, and excellence in our people management strategies. As part of our expansion in The Kingdom of Saudi Arabia, we are looking for an experienced Customer Service Representative.
Position Overview:
The overall goal of the position is to provide excellent service to all our customers, and sell our top-market products, respecting our internal procedures and the legal regulations.
Key Responsibilities:
- Providing exchange services in line with procedures of the company and legal authorities, centring excellence in customer service.
- Identify the customer's needs and properly represent the company during the exchange operation, offering the advantages of the process and facilitating the cross-selling transactions.
- Carry out exchange transactions following the settled procedures, obeying the legal procedures, and attaining excellence in customer care.
- Be the people responsible for the direct contact with customers and be willing to offer customers the highest level of care.
- Document transactions according to the legal criteria.
- Clarify doubts or attend customer suggestions and clear and complete arguments against a complaint during the exchange process.
- Inform the supervisor of any problem or eventuality that might have occurred during the exchange operation.
- Positively valuable IT experience in order to efficiently resolving any technical problems and give support remotely to the IT department.
- Positively valuable availability to travel nationally.
Qualifications:
- High school education is the minimum required with 1-2 years of experience in a similar role.
- University fresh graduates are welcomed.
- Native Arabic and a good command of verbal and written in English is a must.
- Additional languages are a plus.
- Having interest in sales and/or customer services positions or having previous experience in sales and/or customer services positions in retail, fmcg, f&b, tourism sectors is a plus.
- Strong communication, negotiation, and problem-solving skills
- Having the ability to understand and identify customer expectations and needs
- Willingness to make direct contact with customers, to take responsibility, and to provide the best service
- Willingness to work in different shifts
- Positively valuable studies in IT or experience background as field services.
- Entry level
- Full-time
- Customer Service
- Industries
- Financial Services and Retail
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#J-18808-LjbffrInsurance Project Manag
Posted 3 days ago
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Overview
We are one of the top addresses in the Digital Transformation world and focus on optimising our customers' core business processes. By consulting for organizational management or by smartly using customised IT solutions, we support our customers in getting the best out of their business and current technologies. We will only succeed through one thing: the people at adesso! They bring together ideas, professional know-how and technologies. Together, we develop (your) future at adesso.
YOUR ROLE – WHAT TO EXPECTDo you enjoy working at the interface between business and IT and drive Digital Transformation? Do you already have a wide range of experience in consulting for organizational management or managing large software or Digital Transformation projects in the insurance industry in KSA and are familiar with the business of an IT service provider?
Then adesso is the right place for you!
You are a key player in our company's success and will lead complex IT consulting and software development projects from the outset. The aim is not to manage the project business and the employees involved in it but to develop it actively and purposefully and manage it efficiently.
In detail, you will have the following activities:
- Project management expertise with a focus on strategic planning and the establishment of a PMO (Project Management Office) within the company.
- Support in setting up project management structures and processes to efficiently manage the implementation of strategic initiatives.
- Planning, realisation and monitoring of IT consulting and software development projects
- Ensure project milestones are met and business objectives are achieved
- Management of large project teams and ensuring optimal utilisation of the team
- Adherence to quality standards through the application of efficient quality and test management
- Stakeholder management with customers, i.e. developing and maintaining cooperative customer relationships to achieve a high level of customer satisfaction and long-term customer loyalty
- Strategic customer development, technical and professional support for sales and pre-sales activities
- Lead cross-functional teams, driving digitalisation in the insurance sector
- Bachelor’s or Master’s Degree in Business Information Systems or Insurance
- At least eight years of experience as a project manager / PMO and with digital transformation.
- At least two years of experience in the insurance industry.
- You already have a wide range of experience in (multi-)project management and are familiar with the business of an IT service provider.
- Solution-oriented, structured approach in project-critical situations, coupled with extensive experience in quality and test management of software development projects
- Confidence in dealing with decision-makers and extensive experience in the field of pre-sales activities
- Experience in international companies or software development would be a bonus.
- Fluent in English and Arabic.
- An established global business with the soul of a Startup
- A digital workplace experience with flexible working hours
- Agile & lean organisation: Optimized work processes to eliminate waste and horizontal hierarchy
- A bonus system based on company and individual contributions
- Structured professional development with both soft and technical training programs
adesso provides IT delivery, consultancy, and software solutions through international teams. The new subsidiary, adesso Arabia, is based in Riyadh. With a global, local player mindset, we establish adesso as a local brand in the Middle East, leveraging adesso’s global delivery network from Germany to Turkey and India.
More than 600 of the more than 11,000 employees in the adesso Group already work for international customers around the globe. The main technology stack is Java, .NET, FE, Mobile App Development, MS Power Platform, and DevOps.
Seniority level- Mid-Senior level
- Full-time
- Project Management
- Industries
- IT Services and IT Consulting and Insurance
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#J-18808-LjbffrCustomer Service Representative
Posted 3 days ago
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About Us
Kaizen is the Number 1 Recruitment Leader in the MENA region and works on placing high-caliber professionals in prominent and lucrative roles across the Middle East & and GCC.
The ClientEstablished in 1841 is the world’s leading source of business information and insights, enabling companies to Decide with Confidence it is responsible for business in 64 countries across the Middle East, South Asia, Africa, and the Indian Ocean / Pacific Islands regions.
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 support sales in fresh inquiries.
- Maintain a detailed record of inquiries, requests, complaints, comments, and ensure follow-up with the relevant parties to facilitate necessary actions.
- Liaison with other departments to ensure a timeline fulfilment of deliverables.
- Direct requests to the appropriate individuals or teams for resolution.
- Cultivate and nurture professional relationships with existing customers.
- Should know about all the 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.
- Graduate
- 0-2 years of experience in managing the corporate customers, B2B Customer Service
- Proven track record in customer service, corporate CS 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 the different stakeholders at the same time.
- Ability to engage
When you apply for this position, a consultant from Kaizen Firm will evaluate your resume for the role being posted in addition to considering you for other relevant positions as they become available that match your interests, expertise, and skill set. Your CV might be submitted into our protected applicant tracking system, but none of your information will ever be disclosed to another party without your permission. Through https : / / zcu.io / cNxP , you can browse a wide range of employment opportunities and apply your personal data rights at any time.
#J-18808-LjbffrLife Insurance Sales Agent
Posted 3 days ago
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Jobs for Humanity is partnering with Saudiaat to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from all walks of life.
Company Name: Saudiaat
We are looking for a dedicated and persuasive Insurance Agent to join our team. The role involves selling life insurance policies to clients while tailoring the options to suit their individual needs. The right person for this position should be adept at building trust and rapport.
Job Purpose
The purpose of this role is to promote our life insurance products and make effective sales. The goal is to help clients understand the benefits and coverage options available to them, comply with regulatory requirements, stay updated with market trends, and ensure our clients are satisfied and secure with their insurance decisions.
Job Duties and Responsibilities
- Selling of life insurance policies
- Communicating effectively with clients to build trust and rapport
- Assessing clients' needs and providing tailored insurance solutions
- Staying up-to-date with life insurance products and market trends
- Ensuring regulatory compliance in all processes and communications
Required Qualifications
- Proven record of successful life insurance sales
- Excellent communication and relationship management skills
- Experience in needs assessment and solution provision
- Solid understanding of life insurance products
- Ability to analyze market trends
- Thorough understanding of regulatory compliance
- Entry level
- Full-time
- Sales and Business Development
- Technology, Information and Internet
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Sign in to set job alerts for “Insurance Sales Representative” roles.Location: Riyadh, Saudi Arabia
Posted: 14 hours ago
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#J-18808-LjbffrSenior Manager - Insurance Business Rules/RCM/Denial Management
Posted 4 days ago
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Role Summary: Business Rules Senior Manager
- Responsible for managing the product image and its development through client interface by connecting Content and Business teams (BDU) simultaneously.
- Ensuring and supporting the development of rules content by providing support to internal teams through review, guidance, and validation of activities.
- Reviewing data analytics and extracting insights based on market payers, regulator protocols, claims denial trends, and user feedback analysis.
- Working closely with stakeholders like payers, regulators, healthcare providers, and revenue cycle departments to ensure adherence to market billing standards and protocols, analyzing coding/billing issues for compliance with policies, and addressing payer denials in the KSA market.
- Act as a bridge between internal THYNK team and management to communicate the product vision and development.
- Partner with clients to incorporate their feedback and updates into the product.
- Coordinate with teams regularly to support the product's vision.
- Develop functionalities aligned with market practices to enhance the product.
- Work effectively under pressure and manage multiple reporting lines.
- Validate claim remittance reports monthly, review denial trends, and provide feedback to improve the rule engine, reducing denials and maximizing remittance.
- Analyze bypass reports and end-user feedback to improve rules logic, quality, and validation outcomes.
- Review clients' historical denial reports to identify trends and develop rules to improve revenue integrity.
- Communicate effectively with internal and external parties, analyzing market insights and best practices to define rules content.
- Minimum 10 years of experience in claim adjudication lifecycle with payers/TPAs.
- Experience with Data Analytics tools like Power BI is preferred.
- Strong analytical skills and attention to detail.
- Understanding of insurance adjudication guidelines and protocols, especially in the KSA market.
- Professional certification in Medical Coding is a plus but not mandatory.
- Knowledge of local regulations and adjudication protocols in KSA.
- Excellent communication and presentation skills.
- Proficiency in Healthcare Information Systems.
- Medical background (Doctor, Nurse, Pharmacist) is highly desirable.
- Certifications in Insurance and Project Management are highly valued.
- Seniority level: Mid-Senior level
- Employment type: Full-time
- Job function: Finance and Sales
- Industries: IT Services and IT Consulting
This job posting is active and accepting applications.
#J-18808-LjbffrInsurance Sales Agent
Posted 4 days ago
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Insurance Sales Agent (Malayalee/Egyptian) in Riyadh, Saudi Arabia
We are seeking highly motivated and driven Insurance Sales Agents to join our team in Riyadh, Saudi Arabia. As an Insurance Sales Agent, you will be responsible for selling insurance policies and providing excellent customer service to clients.
Requirements:
- Must be a Malayalee or Egyptian national
- Fluent in English (Arabic proficiency is a plus)
- Previous sales experience is preferred
- Excellent communication and interpersonal skills
- Ability to work independently and in a team environment
- Valid residence visa with sponsorship transfer available
Responsibilities:
- Develop and maintain relationships with potential clients through phone calls, emails, and face-to-face meetings
- Understand clients' insurance needs and provide suitable policy recommendations
- Meet or exceed sales targets by actively promoting insurance products
- Handle client inquiries and resolve any issues or concerns in a timely manner
- Keep up-to-date with industry trends, products, and services to provide accurate information to clients
Benefits:
- Competitive salary with attractive commission structure
- Flexible working hours (part-time options available)
- Opportunity for career growth and development within the company
- Visa sponsorship available for eligible candidates
If you are self-motivated, goal-oriented, and have a passion for sales, we want to hear from you! Join our dynamic team of Insurance Sales Agents in Riyadh today.
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Customer Service Representative - Saudi National
Posted 7 days ago
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Join us in redefining customer experience at Tabby! As a Customer Experience Representative, you’ll be at the forefront of delivering seamless, engaging, and solution-driven interactions. This is more than just a support role—it’s an opportunity to shape customer satisfaction, test cutting-edge AI tools, and contribute to the future of fintech services.
- Department
- Customer Support Ops
- Employment Type
- Full Time
- Location
- KSA
- Workplace type
- Onsite
- Compensation
- ر.س6,000 - ر.س7,500 / month
- Engage with customers via chat and phone, providing prompt and effective solutions.
- Leverage and test AI-driven digital tools, offering valuable feedback to enhance automation and efficiency.
- Champion customer service excellence, ensuring policies and procedures align with company objectives.
- Analyze customer queries, identifying patterns and opportunities for service optimization.
- Collaborate cross-functionally, working with different teams to uphold top-tier customer satisfaction and drive global CSAT leadership.
- Bilingual fluency in English (B2 level) and Arabic (C1 level) (spoken and written).
- Postgraduate degree in math, business, marketing, or finance (preferred).
- Strong analytical and problem-solving skills, with the ability to think critically.
- Exceptional communication and interpersonal skills, with a high level of self-awareness.
- Ability to multitask and thrive in fast-paced environments, meeting deadlines efficiently.
- Team player mindset, with the ability to build and maintain strong relationships across teams.
- Resilience under pressure, with a proactive approach to challenges.
- Be part of an industry-leading fintech company redefining customer experience.
- Work with AI-powered tools and cutting-edge technologies, helping shape the future of customer support.
- Grow your career in a dynamic, fast-paced environment, where innovation is at the core of everything we do.
- Make an impact by ensuring every customer interaction is memorable, efficient, and solution-focused.
If you're ready to set new benchmarks in customer experience, we want you on our team!
Tabby creates financial freedom in the way people shop, earn and save, by reshaping their relationship with money.
The company’s flagship offering allows shoppers to split their payments online and in-store with no interest or fees. Over 32,000 global brands and small businesses, including Amazon, Noon, IKEA and Shein use Tabby to accelerate growth and gain loyal customers by offering easy and flexible payments online and in stores.
Tabby has generated over $7 billion in transaction volume for its partner brands and has the highest rated, most reviewed, largest and fastest growing app of any fintech in the GCC region.
Tabby launched operations in 2020 and has raised +$1 billion in equity and debt funding from global and regional investors.
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Register Your Interest #J-18808-LjbffrInsurance Sales Agent
Posted 8 days ago
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Insurance Sales Agent
We are hiring an experienced Insurance Sales Agent to join our growing team in Riyadh. As an Insurance Sales Agent, you will be responsible for identifying potential clients, understanding their insurance needs, and selling the appropriate policies to meet those needs. You will also be responsible for building and maintaining relationships with clients to ensure their satisfaction and retention.
Key Responsibilities:
- Identify potential clients through networking, referrals, and cold calling
- Understand clients' insurance needs and suggest appropriate policies
- Present and explain policy options to clients
- Customize insurance plans to fit individual client needs
- Ensure all required documentation is completed accurately and efficiently
- Maintain a strong understanding of insurance products and services offered by the company
- Meet or exceed sales targets set by the company
Requirements:
- Minimum of 2 years experience in insurance sales
- Proven track record of meeting or exceeding sales targets
- Excellent communication and interpersonal skills
- Strong negotiation skills
- Ability to understand client needs and provide suitable solutions
- Proficient in Microsoft Office Suite
- Bachelor's degree in Business Administration or related field preferred
- Must be fluent in English
- Must have a valid driver's license
We offer a competitive salary of 1700$ per month, along with accommodation, free visa, and ticket. This is a full time position with opportunities for growth within the company. If you are a motivated individual with a passion for sales and customer service, we encourage you to apply for this exciting opportunity.
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#J-18808-LjbffrInsurance Navigation Fields Specialist
Posted 8 days ago
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The Insurance Navigation Fields Specialist plays a key role in assisting clients with navigating the complexities of their insurance policies, claims, and coverage options. This position requires a deep understanding of insurance products, as well as strong customer service and administrative skills. The specialist will act as an intermediary between the client and the insurance provider, ensuring that claims and coverage inquiries are handled efficiently and accurately.
Responsibilities Claims Management- Handle rejected or denied claims by identifying errors, missing documentation, or eligibility issues; follow up with appeals or corrections as necessary.
- Track and analyse patterns in claim denials to proactively reduce future issues.
- Verify patient insurance coverage and eligibility.
- Visit hospitals, clinics, and healthcare facilities regularly to support HCPs with real-time insurance-related inquiries.
- Maintain accurate and up-to-date records of patient interactions, insurance verifications, claim statuses, and authorizations.
- Generate regular reports on claim submissions, approval rates, denials, pending actions, and appeals.
- Communicate trends, delays, or systemic issues with leadership and collaborate on process improvements.
- Liaise with insurance companies, third-party administrators (TPAs), and government health schemes to resolve issues and expedite processes.
- Work closely with hospital case managers and medical teams to coordinate insurance-related workflows.
- Ensure compliance with healthcare regulations, patient confidentiality (e.g., HIPAA), and institutional policies.
- Educate hospital staff and patients on insurance processes and updates as needed.
- Train other healthcare professionals / colleagues as needed.
- Strong understanding of health insurance systems (private and public), claims lifecycle, and denial management.
- Excellent interpersonal, communication, and negotiation skills.
- Ability to handle sensitive patient information with professionalism and confidentiality.
- Problem-solving mindset and ability to work independently in the field.
- Ability to adapt to changing situations as needed.
- Willingness to learn and improve continuously.
- Maintain an optimistic and encouraging approach.
- Willingness to travel to multiple hospital sites or clinics as needed.
- Possession of a valid driver’s license and reliable transportation (if applicable).
- Fluency in Arabic and English.
- Flexibility to take on additional responsibilities or tasks as assigned by the manager, based on the evolving needs of the team or organization.
- Bachelor’s degree in healthcare administration, Pharmacy, Public Health, Nursing, or related field (preferred).
- Diploma/certification in Medical Billing, Insurance, or Patient Navigation (advantageous).
- 2+ years of experience in health insurance coordination, medical billing, or healthcare navigation.
- Experience working in a hospital, clinic, insurance company, or TPA setting is highly desirable.
- Prior field experience or client-facing roles in healthcare preferred.
Interested applicants may send their updated CVs to with subject "Insurance Navigation Fields Specialist – KSA."
Seniority level- Entry level
- Full-time
- Health and Human Services