#Hiring Medical Board Consultant for our Insurance Domain Client in Riyadh.
Handle relations with the Medical Providers which includes negotiating all the discounts, studying all the price lists, handling reconciliations and visit the Medical Providers on a regular basis;
Analyze prior-approval requests, negotiate the cases with the medial providers, approve the cases when agreement is reached and enter the claim into GIG Insurance E.C. IT system;
Supervise In-patient claims (this supervision includes visits to the patients during their hospitalization);
Advise on Medical Basics and Practice;
Assist Medical Claims Administrators in processing claims;
Validate all medical claims in GIG Insurance E.C.’ s IT system;
Communicate with Insured Members on their claims and on any request coming from an Insured Member
Drive training and information seminars on GIG Insurance E.C. medical products directed toward clients, prospects and internal Sales forces.
Ensure that all medical information is kept confidential.
Kindly send CVs to [Click to show email]