Medical Insurance

Leading Edge; Riyadh; On-site; SAR 120,000 - 150,000; Full time

Job summary

A top-tier insurance firm is seeking a Medical Manager to oversee underwriting and claims operations. The ideal candidate will have 5-6 years of relevant experience, including managerial roles, and will be responsible for ensuring quality service and compliance. Strong knowledge of insurance regulations and proven skills in client servicing are essential for this position.

Qualifications

• 5-6 years of relevant experience in the insurance industry, preferably in a similar environment.
• At least 2+ years in a managerial role.
• Professional certification in insurance or healthcare management.

Responsibilities

• Oversee underwriting and claims processes for optimal performance.
• Support new business acquisition and client servicing.
• Manage premium registers and claims summaries.
• Liaise with healthcare providers for efficient customer service.
• Conduct market studies and provide strategic insights.

Skills

Underwriting processes

Claims management

Client servicing

Market analysis

Education

University degree in medicine, healthcare, business, or finance

Job description

Job Title : Medical Manager

Industry : Insurance

Location : GCC (Willing to relocate)

Job Summary :

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

Key Responsibilities :

1. Underwriting & Claims Management : Oversee underwriting and claims processes, ensuring smooth operations and optimal performance.
2. Client & Business Development : Support new business acquisition, client servicing, and prepare quotations and policy terms.
3. Operational & Financial Oversight : Manage premium registers, claims summaries, and follow-ups on receivables.
4. Medical Network & Service Coordination : Liaise with healthcare providers to ensure efficient customer service.
5. 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.