Medical Insurance

leading-edge; Riyadh; On-site; SAR 180,000 - 240,000; Full time

Job summary

leading-edge is seeking a Medical Manager to lead underwriting and claims operations for a GCC market. You will ensure regulatory compliance and deliver high-quality service through TPAs, coordinating with providers and clients to grow business.

The role requires 5–6 years in insurance with at least 2 years in management, and a university degree in a relevant field. Experience in quotations, policy terms, and market analysis is valued.

Qualifications

• 5–6 years in insurance, with at least 2 years in a managerial role.
• Degree in a relevant field (medicine, healthcare, business, finance).
• Professional certification or membership in a relevant field.
• Strong understanding of underwriting and claims processes.
• Familiarity with insurance regulations and compliance.

Responsibilities

• Oversee underwriting and claims processes for smooth operations.
• Support new business, client servicing, and prepare quotations.
• Manage premium registers, claims summaries, and receivables follow-ups.
• Coordinate with medical providers to ensure efficient customer service.
• Conduct market studies, provide strategic insights, and generate MIS reports.

Skills

Underwriting

Claims management

Client development

MIS reporting

Regulatory compliance

Education

University degree in medicine/healthcare/business/finance

Job description

Job Title: Medical Manager

Industry: Insurance

Location: GCC (Willing to relocate)

Job Summary:

Our client is seeking Medical Manager to lead underwriting and claims operations, ensuring compliance and exceptional service quality through Third-Party Administrators (TPAs).

Key Responsibilities

• Underwriting & Claims Management: Oversee underwriting and claims processes, ensuring smooth operations and optimal performance.
• Client & Business Development: Support new business acquisition, client servicing, and prepare quotations and policy terms.
• Operational & Financial Oversight: Manage premium registers, claims summaries, and follow-ups on receivables.
• Medical Network & Service Coordination: Liaise with healthcare providers to ensure efficient customer service.
• Strategic & Market Analysis: Conduct market studies, provide strategic insights, and generate MIS reports.

Requirements

• Experience: 5-6 years of relevant experience in the insurance industry, preferably in a similar environment, with at least 2+ years in a managerial role.
• Education: University graduate with a degree in a relevant field (e.g., medicine, healthcare, business, finance).
• Certifications: Professional certification/membership in a relevant field (e.g., insurance, healthcare management) from a recognized institution.
• Strong understanding of underwriting and claims processes.
• Familiarity with insurance regulations and compliance.