Posted May 17, 2024 2186 views Report Job
- Handle relations with the Medical Providers which includes negotiating all the discounts, studying all the price lists, handling reconciliations, and visiting the Medical Providers on a regular basis.
- Analyze prior-approval requests, negotiate the cases with the medical providers, approve the cases when an agreement is reached, and enter the claim into GIG Insurance E.C. IT system.
- Supervise in-patient claims (this supervision includes visits to the patients during their hospitalization).
- Advise on medical basics and practice.
- Assist Medical Claims Administrators in processing claims.
- Validate all medical claims in GIG Insurance E.C.’s IT system.
- Communicate with insured members on their claims and on any request coming from an insured member.
- Drive training and information seminars on GIG Insurance E.C. medical products directed toward clients, prospects, and internal sales forces.
- Ensure that all medical information is kept confidential.
Job Details
Industry:
Functional Area:
Total Positions:
1 Post
Job Shift:
First Shift (Day)
Job Location:
Gender:
No Preference
Minimum Education:
Bachelors
Degree Title:
Medical degree required
Career Level:
Experienced Professional
Minimum Experience:
4 Years
Apply Before:
Jun 17, 2024
Posting Date:
May 17, 2024
Addar Group
Recruitment / Employment Firms · 601-1000 employees - Riyadh
ADDAR Group consists of different divisions, which helps it to concentrate on a given business and market segment. Today we are a group with diversified business interests and having a team of more than +1000 employees with diverse experience and expertise which are deployed at various clients for the projects.
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