Jobs / Physiotherapist Jobs / Medical Claims

Medical Claims

Saudi
Education:  

Key Responsibilities

 

  • Process outpatient claims daily in adherence to medical policies and guidelines.
  • Review claims data (physical and electronic) to ensure accuracy and compliance with operational checklists.
  • Maintain accuracy rate in quality audits and meet daily processing targets.
  • Identify unusual provider patterns and escalate potential fraud to the Supervisor of Medical Claims and Special Investigations Unit (SIU).
  • Collaborate with senior staff on complex claims cases to ensure sound medical decisions.

 

Qualifications

 

Education:

  • Bachelor’s degree in Dental, Physiotherapy, Pharmacy, or a related medical field.

 

Experience:

 

  • A minimum of 2 years in health insurance is preferred.
  • Fresh graduates with relevant educational backgrounds are encouraged to apply.


Skills

  • Strong analytical, quantitative, and problem-solving skills.
  • Excellent communication, interpersonal, and organizational abilities.
  • High level of self-motivation and a proactive approach to challenges.


Apply on the Job Website
Post date: 26 Sha'ban 1446 - Today
Publisher: Bayt
Post date: 26 Sha'ban 1446 - Today
Publisher: Bayt