Insurance Manager – Clinical Background Required

Doha, DAW, QA, Qatar

Job Description

Role and Responsibilities:



Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded.

Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded.

Insurance policies implemented after the agreement is signed.

Follow up and negotiations with Insurance Companies where needed to ensure approval of problematic cases.

Exhausted benefits identified in close liaison with re-submission team to ensure maximum recovery from Insurance companies.

Insurance protocols complied with at all times.

Disallowance reconciliation and mutual settlement coordinated with Insurance Companies.

Insurance disallowance write-offs coordinated with Accounts Receivables department after proper reconciliation.

Disallowance reasons evaluated, improvement areas identified, and changes implemented.

Submission of Insurance department statistics on a monthly basis.

Work distribution within insurance team/coaching of insurance team members.

Management of regional operational insurance programs (property-business interruption, third-party liability) including service agreements with brokers.

Regularly review outstanding claims and liaise with the Management/Finance Department to ensure the adequacy of claim reserves.

Prepare all statistics required by Management including rejections, insurance company breakdown of revenue & claims.

Achieve monthly team targets in terms of claims processed. Communicate with other department managers pertaining to issues related to claims processing and vice versa.

Oversees operational systems, processes, and infrastructure while looking for opportunities of improvement or revision.

Anticipates and tracks insurance and tactical risks and providing strategic solutions.

Manages day to day business of the Insurance department while balancing the responsibilities of various business lines such as business analysis.

Works with other teams to help set and meet daily and quarterly goals.

Works closely with GM on other special planning and departmental projects.

Oversees and reports weekly, monthly, quarterly, and annual metrics.

Identifies trends and assess opportunities to improve processes and execution.

Completes reasonability testing and information validation prior to circulating findings and recommendations to key stakeholders.

Collaborates with other back-office team members to ensure seamless business execution, reinforce positive morale, and uphold company values.

Collaborates with transitions and onboarding team as needed.

Raises and tracks issues and conflicts, remove barriers, resolve issues of medium complexity involving stakeholders and escalate to appropriate level when required.

Assesses a variety of situations and provide clarity to team and stakeholders.

Establishes and maintains credible, professional relationships with clients, internal business lines, and external vendors.

Solicits and responds to feedback while gaining commitment and support.

Supports back-office and firm-wide training programs, reinforcing tech and operations infrastructure between departments to ensure consistency and quality standards are met.

Stays up to date on industry regulations, trends, and technology.

Works closely with management team to ensure all operational, administrative, and compliance functions within the firm are being properly executed in accordance to regulatory-based best practices.

Any other task as assigned by management on a time-to-time basis as per the organization's needs.

Job Type: Full-time

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Job Detail

  • Job Id
    JD2202945
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Doha, DAW, QA, Qatar
  • Education
    Not mentioned