Job Description

Insurance Specialist

Experience Required:

Minimum of 8 years in the insurance sector.

Job Responsibilities:

Review health insurance policies to ensure they cover all agreed-upon items with the insured party. Analyze insurance benefits and compare them with approved contracts and contractual terms. Verify the accuracy of member (insured individuals) data and their corresponding coverages. Coordinate with insurance companies to clarify or amend any ambiguities or inconsistencies in documentation. Update policy details during renewals or amendments in coordination with the insured party. Document and monitor any exceptions or specific limits within each policy. Prepare reports outlining discrepancies or observations identified during the review process. Provide internal support to relevant departments (e.g., Finance or HR) regarding coverage and benefits. Contribute to enhancing internal policies related to insurance documentation management.

Qualifications and Experience:

Bachelor's degree in Business Administration, Insurance, Healthcare Management, or a related field. Minimum of 2-3 years reviewing health insurance documents. Strong understanding of insurance coverage types and policy terms. Proficiency in MS Office (especially Excel) and insurance management systems. Ability to analyze legal or semi-legal documents.

Required Skills:

Accuracy and attention to detail Strong analytical and organizational skills Excellent verbal and written communication skills Ability to understand insurance and medical terminology Problem-solving skills

Nationality:

Arab