Healthcare Insurance Administration Specialist

Ma'aden Aluminium Company (MAC); Riyadh; On-site; SAR 89,000 - 134,000; Full time

Job summary

Ma'aden Aluminium Company (MAC) is seeking a professional to manage and administer employee medical insurance services, work injury processes and healthcare coordination, ensuring regulatory and policy compliance. You will handle CHI regulations, GOSI reporting, claims processing, pre-employment medicals, records management and provider coordination across company clinics and external facilities.

The role requires 2+ years in medical insurance administration, a Bachelor's in a related field, and

Qualifications

• Bachelor's degree in healthcare administration, Business Administration, Human Resources, or a related field.
• Minimum 2 years of experience in medical insurance administration, healthcare services, employee medical support, or a related healthcare field.

Responsibilities

• Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations.
• Coordinate insurance approvals, coverage inquiries, escalations and monitoring of medical coverage limits.
• Review, validate and process employee medical expense claims in accordance with company policies.
• Manage GOSI registration, reporting and follow-up for all work-related injury cases.
• Coordinate pre-employment medical examinations for new hires.
• Maintain accurate medical insurance and employee healthcare records.
• Support employees with medical insurance inquiries and healthcare service requirements.
• Ensure quality and effectiveness of healthcare providers including company clinics and external medical facilities.
• Conduct site visits to hospitals and medical facilities to monitor service quality and compliance with approved healthcare standards.
• Coordinate medical travel arrangements for employees requiring specialized treatment within and outside the Kingdom.

Skills

CHI Regulations

GOSI Platform

Patient Service

Medical Terminology

Insurance Coordination

Healthcare Provider

Microsoft Office

Communication Skills

Analytical Thinking

Time Management

English Proficiency

Education

Bachelor's degree in healthcare administration

Job description

Ma'aden Aluminium Company (MAC) is seeking a professional to manage and administer employee medical insurance services, work injury processes and healthcare coordination, ensuring regulatory and policy compliance. You will handle CHI regulations, GOSI reporting, claims processing, pre-employment medicals, records management and provider coordination across company clinics and external facilities.

The role requires 2+ years in medical insurance administration, a Bachelor's in a related field, and