Medical Insurance & Care Coordination Specialist

Maaden; Riyadh; On-site; SAR 120,000 - 180,000; Full time

Job summary

Maaden in Saudi Arabia is seeking an experienced Medical Insurance Administrator to manage employee medical insurance services, work injury processes, and healthcare coordination while ensuring regulatory and policy compliance. The role supports employees’ medical needs through effective insurance administration, claims processing, healthcare provider coordination, and occupational health compliance.

The position requires coordinating pre-employment medicals, maintaining accurate records, and

Qualifications

• Bachelor’s degree in healthcare administration, business, HR, or related field.
• Minimum 2 years in medical insurance administration or healthcare support.
• Experience with CHI regulations and GOSI preferred.

Responsibilities

• Administer medical insurance programs in compliance with CHI regulations.
• Coordinate approvals, coverage inquiries, escalations, and monitor limits.
• Review and process medical expense claims per policies.
• Manage GOSI registration and follow‑up for work-related injuries.
• Coordinate pre-employment medical examinations for new hires.
• Maintain accurate medical insurance and healthcare records.
• Support employees with insurance inquiries and healthcare needs.
• Ensure quality of healthcare providers and facilities.
• Conduct site visits to hospitals and facilities for service monitoring.
• Arrange medical travel for specialized treatment inside/outside the Kingdom.

Skills

CHI Regulations

GOSI Platform

Patient Service

Medical Terminology

Insurance Coordination

Provider Management

Hospital Experience

MS Office Suite

Communication Skills

Analytical Thinking

Time Management

English Proficiency

Education

Bachelor's degree in related field

Tools

MS Office Suite

Job description

Maaden in Saudi Arabia is seeking an experienced Medical Insurance Administrator to manage employee medical insurance services, work injury processes, and healthcare coordination while ensuring regulatory and policy compliance. The role supports employees’ medical needs through effective insurance administration, claims processing, healthcare provider coordination, and occupational health compliance.

The position requires coordinating pre-employment medicals, maintaining accurate records, and