• 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.

تفاصيل الوظيفة

المجال الصناعي:
المجال الوظيفي:
مجموع الشواغر:
1 .
نوع الدوام:
الوردية الأولى في الصباح
نوع الوظيفة:
لا تفضيل
أدنى مؤهل:
شهادة بكالوريوس
اسم المؤهل:
Medical degree required
المستوى المهني:
موظف مهني
أدنى خبرة:
4 سنوات
آخر تاريخ للتقديم:
يونيو ۱۷, ۲۰۲۴
تاريخ الاعلان:
مايو ۱۷, ۲۰۲۴

Addar Group

التوظيف / شركات التوظيف · 601-1000 موظف - الرياض

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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