Insurance Portal
Analytical Medical Insurance Officer offering [10] years' experience within fast-paced, high-volume environments. Highly competent in efficiently verifying, coordinating and processing insurance. Skilled in quickly resolving issues and liaising between insurance providers and policy holders. Seeking to bring talent to growing organization.
• Preparing Medical insurance Tender for quotations
• Preparing & following up medical claims with insurance providers
• Handling special cases, rejections related to medical insurance Claims,
coverage & approvals
• Managing meetings with insurance companies discussing quotations, Table
of Benefits, contract, claim rejection and price
• Working in Insurance portal for Endorsement (Addition, Deletion and
Correction),Claims & invoices
• Following up patients in hospitals and coordinating with insurance
company especially critical cases when patient needs to be repatriated
• Replying to Inquires, Complaints, and any further information
• Receiving personnel reports and transcription
• Assisting in creating course of actions, planning and development
• Handling medical Insurance new quotations, renewals, endorsements
(addition and deletion) for the company staff
• Generating health insurance policy reports for management overview
• Configuration and submission of Workers Compensation claims
• Replying to Inquires, Complaints, and any further information
• Preparing Medical Invoice reports related to insurance company bills and
send it to finance for payment
• Supporting other departments such as HR, Finance
• Evaluating Technical and Financial quotations submitted from insurance
companies and prepare reports to the management
• Supporting IT department in creating and updating insurance system
• Monthly review of company loss ratio report and advice plans to reduce it.
• Managing Al Jaber Site Clinics and following up requirements with the medical services
provider, in addition to follow up and solve medical staff issues.
• Assisting in creating course of actions, planning and development
• Assisting in problems solution and facilitating the process
• Preparing & following up medical claims with insurance providers
• Reducing claim rejections and increasing overall collections
• Verifying insurance coverage and benefits
• Coordinating with insurance company for the patients necessitates such as
approvals, admissions…etc.
• Supervising medical insurance and pursuing requirements for: (Al Jaber, Medical Service
Provider, and Insurance providers) in order to achieve a smooth running of the Site Clinics
• Auditing Government hospitals bills and providing patient details.
• Following up patients in hospitals, and coordinating with all subsidiary departments of Al Jaber
and insurance company especially critical cases when patient needs to be repatriated
• Configuration and submission of Workers Compensation claims
• Replying to Inquires, Complaints, and any further information
• Receiving personnel reports and transcription
• Preparing Monthly reports and individual letters to demonstrate the accidents details
• Following up with HSE to reduce work incidents, and cooperate to issue awareness posters and
information to prevent contagious diseases from the spread
• Handling medical Insurance new quotations, renewals, endorsements (addition and deletion) for
the company staff and contractors.
• Handling special cases, rejections related to medical insurance.
• Preparing the leave schedule plans for the year.
• Generating health insurance policy report, Budgeting for management overview.
• Preparing the Training Plan an
• Coordinate with Training companies to get quotations for the planned training.
• Arranging the facilities for conducting the training.
• Managing the staff welfare, grievance and its redressal.
• Handling the Day-to-Day admin. activities of the company
• Drafting all kinds of official letters, facsimiles and memos as per company
requirements.
• Coordinating and scheduling various Management meetings.
• Hotel reservation & Travel arrangement for the staff & company guests
• Establish & maintain a proper filing system.
• Arrangement of site accommodation and transportation for the company staff and contractors.
• Using Tasheel System for Labor card applications
• Using FAWRI for Visa Applications
• Security pass & Optima Card issuance.
• Quality Internal Audits and its follow up actions as per the company Quality Procedures
& Plans.
• ISO 9001:2008 Certified
• Support a number of marketing activities with the purpose of generating positive imaging
for a company service.
• Generate a positive awareness of a business service, as well as develop a connection between
the clients and the company.
• Represent services or products on either a local, regional, or national level.
• Work with a manager along with others within the marketing department of the company.
• Develop and implement strategies to build and reinforce the overall company brand
message for its products and services.
• Work both in the office and travel throughout an assigned territory to meet regularly
with clients and customers.
• Attend regularly occurring meetings with clients regarding the services, products, or
organizations being represented.
• Capturing and reviewing customer feedback.
• Travel throughout specified territories to meet with customers and clients to generate
strategies for increasing product sales.
• Working as QA/QC.
• Endorsement process
• Teamwork
• Knowledge of regulation
• Invoice preparation
• Tender Preparation and submitting
• Submit Claims
• Policy study
• Knowledge of Insurance portal
• Communication
• Time Management
• Problem Solving
Insurance Portal
MS Office Suite
ERP
CRM
HRMS
Available Upon Request.