Please turn on your javascript Riyadh Alburaimi - Leader of Employees insurance - National Water Company-Riyadh - Riyadh, Saudi Arabia

Summary

Project Management
Process Analysis & Problem solving
Develop and Coach Others
Team Leader
IT skills
Fund & cost redaction
Miscellanies Surveys

Projects

التأمين الصحي الجديد 2018 وثيقة الضمان الصحي الجديدة
وثيقة التأمين الطبي لشركة المياه الوطنية

Experience

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Leader of Employees insurance
National Water Company-Riyadh
Mar 2017 - Present | Riyadh, Saudi Arabia

The process owner of all medical insurance services at NWC.
 Ensure & update all employee data and information are aligned with insurance company database.
 Manage insurance medical contracts and its related operation during policy timeframe.
 Settle all employee complaints, medical cards request, and provide additional & deletion daily requests.
 Settle all employee insurance medical reimbursement claims.
 Provide 24/7 follow-up insurance medical support including (approvals & disapproval with insurance company & update medical network if necessary.
 Conduct periodical visits to medical network providers to assure services efficiency and effectiveness to NWC employees.
 Review the RFP\'s of medical insurance & updates all the conditions & benefits.
 Mange the CBU\'s of NWC daily bases & location visit if need.
 Mange & review medical claims reports.
 Mange & review claims history reports.

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Training & Development Senior Specialist
National Water Company-Riyadh
May 2013 - Mar 2017 | Riyadh, Saudi Arabia

Maintain competencies dictionary and updating job profiling.
 Manage competency assessment process for critical position cross-functional and conduct training needs assessment, identify skills gaps, and associated training and development requirements for employees.
 Prepare training and development budgets for NWC.
 Liaise with training institutes, providers to ensure service delivery and the appropriate source of training needs and plans.

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Recruitment Specialist
National Water Company-Riyadh
Aug 2008 - May 2013 | Riyadh, Saudi Arabia

Carry out manpower planning in coordination with departments to identify staffing needs
 Meet staffing requirements by managing the full recruitment cycle
 Manage all recruitment activities, starting from screening and interviewing of candidates to appointment and hiring
 Maintain CVs database and identify sources of recruitment (local and overseas)
 Oracle (HRMS) process analyst.

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Medical Insurance & GOSI Unit Head
National Agricultural Development Company -NADEC
Feb 2007 - Aug 2008 | Riyadh, Saudi Arabia

The process owner of all medical insurance services at NADEC.
 Ensure & update all employee data and information are aligned with insurance company database.
 Manage insurance medical contracts and its related operation during policy timeframe.
 Settle all employee complaints, medical cards request, and provide additional & deletion daily requests.
 Settle all employee insurance medical reimbursement claims.
 Provide 24/7 follow-up insurance medical support including (approvals & disapproval with insurance company & update medical network if necessary.
 Conduct periodical visits to medical network providers to assure services efficiency and effectiveness to NADEC employees.

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Group Leader operations & quality
National Cooperative Company for Insurance -Tawuniya
Feb 2001 - Feb 2007 | Riyadh, Saudi Arabia

The process owner for all government & non-government insurance medical polices.
 Manage day-to-day insurance medical services to grant clients satisfaction.
 Conduct periodical visits to Tawuniya Clint’s
 Follow-up all disapproval cases, investigate the rejection status and come up with proper solution in coordinating with concerns.
 Receiving and treating medical reimbursement claims.
 Issuing payment authorization for outstanding medical reimbursement claims.
 Issuing the endorsement/Enrolment (addition & deletion medical cards request).

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Education

معهد الإدارة العامة
Diploma, Insurance operations‎
Insurance, Insurance & Risk Management
Completed
2001
Institute of Public Administration - Riyadh
Diploma, Insurance Operations‎
Insurance
Completed
2001

Skills

Expert Conservation Awareness
Expert Counter Billing
Expert Customer Service Orientation
Expert Listening to Customer Skills
Expert Unreal and Blender
Expert VAS Support
Expert Xray Equipment Maintenance

Languages

Expert English