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Job Description

Implement the reconciliation process including reviews, negotiations and trend analysis to drive efficiency and cost reductions. Liasion with key providers to ensure the reconciliation process carried out in effective way.

Monitor staff achievements, perform periodic performance appraisals, and provide guidance, coaching or training to direct reports in performing their delegated duties Optimise the use of personal and team time/effort in carrying out assigned duties, to ensure work meets agreed standards for timeliness and quality Analyse key provider billing, rejection ratio, last conciliation percentage, in order to match the final figure & detect the variation Conduct regular meetings with Key providers to discuss the rejections & finalize the reconciliations as per reconciliation P&P in order to achieve reconciliation target Coordinate with provider management to have regular meeting with Key providers to discuss the reconciliation process & business development in order to achieve the target reconciliation percentage Ensure that a proper plan is on place to reconcile with deferent Key providers by arranging regular meetings to achieve the agreed reconciliation as per the business plan Ensure that reconciliation Key provider has been reconciled with the best closing percentage by granting the final approval from the manager Negotiate with Key providers to discuss the medical rejection depending on hisher medical expertise to achieve the expected recalculation ratio ,(Training needed) Comply with CCHI regulations & build good relationship with Key providers by Ensuring the payment are done as per the plan.


Job Details

Total Positions:
1 Post
Job Type:
Full Time/Permanent
Job Location:
No Preference
Career Level:
Experienced Professional
Minimum Experience:
3 Years
Work Permit:
Saudi Arabia
Apply Before:
Feb 06, 2019
Posting Date:
Nov 06, 2018
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Tawuniya Inssurance

Insurance / Takaful · 601-1000 employees - Riyadh

The Company for Cooperative Insurance (Tawuniya) was founded in 1986 in Riyadh as a Saudi joint stock company and the first licensed national insurance company in Saudi Arabia offering various insurance products commensurate with the needs of the community of individuals and companies in accordan ...Read More