Medical Insurance Doctor - (Supplemental Workforce - Third Party Contract)

IsDB Group; Jeddah; On-site; SAR 200,000 - 300,000; Full time

Job summary

A leading company seeks a Medical Insurance Doctor to oversee insurance transactions and manage employee wellness programs. Ideal candidates will have a Bachelor's in Medicine, a Master's in healthcare management, and experience in the insurance field. You will handle claims processing, liaise with healthcare providers, and deliver health education sessions. If you meet the criteria, we encourage you to apply.

Qualifications

• 5-7 years of experience in the insurance field.
• Strong background in healthcare and medical insurance.

Responsibilities

• Manage health insurance-related transactions, claims processing, and reimbursements.
• Develop and implement employee wellness programs.

Skills

Communication

Customer Care

Computer Skills

Education

Bachelor's degree in Medicine and Surgery

Master's degree in healthcare management

Job description

# IDB3487 - Medical Insurance Doctor - (Supplemental Workforce - Third Party Contract)

Business Unit

Director General Corporate Services

Division

Not Applicable

Department

Health Services Center

Country

Saudi Arabia

Location

Saudi Arabia - Jeddah

Job Grade

Not Applicable

Contract Type

Temporary Staff

Closing Date

28-Jun-2025

Required Background

A highly skilled and experienced Medical Doctor to oversee insurance transactions and manage staff welfare and wellness programs within IsDBG. The ideal candidate shall have a strong background in healthcare, medical insurance, and employee wellness, along with excellent communication, customer care, and computer skills.

Key Responsibilities

1. Insurance Transactions: Manage and oversee all health insurance-related transactions, including preauthorization, claims processing, and reimbursements. Liaise with healthcare providers to ensure accurate and timely resolution of services for beneficiaries. Verify and validate medical documentation for insurance purposes. Provide expert medical input to resolve disputes or discrepancies in insurance claims.
2. Staff Welfare and Wellness: Develop, implement, and monitor employee wellness programs to promote physical and mental well-being. Conduct health education sessions and workshops on topics such as stress management, nutrition, and preventive care. Provide medical consultations and support to employees as needed. Collaborate with HR to design policies that enhance staff welfare and productivity.
3. Communication and Customer Care (Mosanada Program – HSCD Assistance after working hours, during weekends and official holidays): Serve as the primary point of contact for insurance-related inquiries from employees and external stakeholders. Ensure clear and effective communication between the organization, insurance providers, and healthcare professionals. Address employee concerns related to health insurance and wellness programs promptly and professionally.
4. Healthcare Market Networking: Leverage existing connections in the healthcare market. Stay updated on industry trends and regulations to ensure compliance and optimize services.
5. Administrative and Technical Tasks: Maintain accurate records of insurance transactions and employee wellness activities. Utilize computer software and tools to manage data, generate reports, and streamline processes.

Academic and Professional Qualifications

Bachelor's degree in Medicine and Surgery. Master's degree in healthcare management. 5-7 years of experience in the insurance field.

If you meet the criteria and are enthusiastic about the role, we welcome your application. To complete the application, please prepare the following documents:

• Resume/CV
• Copy of passport
• Academic certificate