Insurance Manager

Job Responsibilities:

• Develop and implement insurance policies and procedures.
• Manage relationships with insurance providers and brokers.
• Oversee claims processing and approval workflows.
• Assess risks and recommend appropriate coverage.
• Ensure compliance with legal and regulatory requirements.
• Monitor insurance expenses and optimize cost-efficiency.
• Provide reports and analysis on insurance claims and coverage
• Provide overall supervision of all medical insurance sections (Approvals, Claims, Medical Audit, Insurance Accounting) and ensure alignment between them to meet institutional objectives.
• Establish and update policies and procedures governing insurance operations in accordance with regulatory changes and market dynamics.
• Monitor key performance indicators (KPIs) across all reporting departments and ensure targets are being met (e.g., approval turnaround, rejection reduction, error minimization, faster claims processing).
• Review and approve periodic reports submitted by section heads and the insurance accountant, and take appropriate strategic decisions based on insights.
• Ensure full compliance with Saudi Council of Health Insurance (CHI) regulations and the implementation of official standards and procedures.
• Submit comprehensive reports to senior management outlining department performance, challenges, recommendations, and status of claims and settlements.
• Approve insurance contracts and review their terms in coordination with legal and financial departments, while ensuring proper archiving and contract validity tracking.
• Follow up on overdue settlements with insurance companies and approve follow-up and financial reconciliation procedures.
• Lead regular meetings with section heads and coordinators to review performance, resolve issues, and identify improvement opportunities.
• Represent the department in meetings with insurance companies and regulatory bodies as needed.

Job Types: Full-time, Contract
Contract length: 24 months

Application Question(s):

• We prefer a General Practitioner doctor for this position with Insurance experience. Do you have a valid License as a GP Doctor?

Experience:

• Insurance: 5 years (Preferred)