general nurse

medical claims processor - nurse/ doctor Jobs in Bahrain

medical claims processor - nurse/ doctor

motor claims executive - payments Jobs in Bahrain

motor claims executive - payments

medical claims processor nurse doctor

DAMANA

<div>
 
 At Damana Insurance, we are looking for a nurse/doctor by education with experience in
 
 medical coding
 
 to join our TPA in Bahrain as a Medical Claims Processor.
 
 
 
 
 
 The Medical Claims Processor is responsible for claims processing of UAE and non-UAE markets. This includes electronic claims, manual paper claims and reimbursement claims. As a Claims Processor, you will be required to analyze a claim based on policy conditions, regulatory requirements, international medical guidelines and internal process and procedures.
 
 
 
 
 
 
 Key Responsibilities:
 
 
 
 
 
 <ul>
 <li>
 Data entry / Medical review claims that are assigned in CMS at batch level or claim level as the case may be.
 </li>
 <li>
 Adjudicate each claim and associated services based on coding rule (UAE market) and policy conditions that includes system driven eligibility checks, coding checks and perform medical investigations.
 </li>
 <li>
 Follow pre-approval protocols as per provider handbook.
 </li>
 <li>
 Adhere to system driven price list information for financial accuracy of the claims.
 </li>
 <li>
 Approve up to the authority matrix.
 </li>
 <li>
 Coordinate with pre-approval team and network team on a case-by-case manner where relevant for the claims adjudication.
 </li>
 <li>
 Coordinate with providers in explaining the rejections on claims.
 </li>
 <li>
 Assist Team Leader and Operations Manager in enhancing and developing the process and system.
 </li>
 <li>
 Adhere to the contents of the Operating Procedures Manual (OPM) and the Company&rsquo;s overall procedures and policies.
 </li>
 <li>
 Miscellaneous tasks within the scope of work, as assigned by the direct manager.
 </li>
 </ul>
 
 
 
 
 
 Qualifications:
 
 
 <ul>
 <li>
 Bachelor's degree in nursing or MBBS
 </li>
 <li>
 Experience and certification in medical coding is a must.
 </li>
 <li>
 1 &ndash; 2 years' experience in health insurance field preferred.
 </li>
 </ul>
</div>

Medical Claims Processor - Nurse/ Doctor

Braxtone Group

<div>
 Please read before clicking apply!
 
 
 
 We're Looking for Insurance Experts
 
 
 
 Are you a seasoned professional in the insurance sector with deep expertise in
 
 Claims, Underwriting, Risk, Compliance, Information Security, Digital Transformation, Insurance Operation, or Actuarial Services
 
 ?
 
 
 Would you like to
 
 leverage your experience on a flexible basis
 
 , contributing to impactful projects or advisory assignments across the GCC and beyond?
 
 
 
 We are expanding our network of insurance professionals
 
 who are interested in
 
 part-time, freelance, or project-based work
 
 . Whether you&rsquo;re semi-retired, between roles, or simply prefer a flexible arrangement &mdash; we want to hear from you.
 
 
 
 What We&rsquo;re Looking For
 
 
 
 <ul>
 <li>
 Strong background in insurance operations (Claims, Underwriting, Risk, Reinsurance, Medical, etc.)
 </li>
 <li>
 Ability to support short-term projects, technical reviews, or strategic assignments
 </li>
 <li>
 Based in or familiar with the GCC insurance market
 </li>
 </ul>
</div>

Insurance Experts

Dr Jamal AlZeera Medical Center

We are seeking a skilled and compassionate Family Medicine Doctor to join our multidisciplinary team. The ideal candidate will provide high-quality, patient-centered care across all age groups while maintaining professionalism and efficiency within a modern clinical setting.Key Responsibilities<ul><li>Provide comprehensive outpatient consultations for adults and children.</li><li>Manage acute and chronic medical conditions following best clinical practice.</li><li>Conduct preventive health checks and patient education.</li><li>Coordinate referrals to specialists when necessary.</li><li>Ensure accurate documentation and patient confidentiality.</li></ul>Requirements<ul><li>MBBS or equivalent with a valid NHRA license (or eligibility).</li><li>Strong clinical and communication skills.</li><li>Professional, empathetic, and team-oriented attitude.</li><li>Ability to work evening or weekend shifts when needed.</li></ul>Working HoursFlexible shifts (day, evening, or night) within a 24-hour clinic schedule.Benefits<ul><li>Competitive salary and incentives.</li><li>Supportive, modern work environment.</li><li>Opportunities for continued professional development.</li></ul>Job Types: Full-time, Part-time

Family Medicine Doctor

PROCORP Management

A leading insurance services firm in Bahrain is seeking an experienced General Manager to oversee overall operations, client services, underwriting, claims, marketing, and staff management. The ideal candidate will drive business growth, enhance client satisfaction, and ensure operational excellence.Key Responsibilities:<ul><li>Lead and manage underwriting, claims, and client service teams.</li><li>Develop and implement marketing strategies to attract new clients.</li><li>Negotiate policy terms and pricing with insurance providers.</li><li>Advise clients on insurance solutions, risk management, and claims processes.</li><li>Maintain strong client relationships and handle complex inquiries.</li><li>Manage staff performance, training, and workload distribution.</li><li>Ensure compliance with Bahrain&rsquo;s insurance regulations.</li><li>Monitor and manage budgets, revenue, and operational costs.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Finance, Business, or related field.</li><li>ACII qualification preferred.</li><li>Minimum 6 years of managerial experience in the insurance industry.</li><li>Strong knowledge of local and international insurance products.</li><li>Excellent communication, leadership, and negotiation skills.</li><li>Proficient in MS Office and basic accounting software.</li></ul>Personal Attributes:<ul><li>Results-driven, reliable, detail-oriented, and client-focused.</li><li>Strong sales mindset and interpersonal skills.</li></ul>Job Types: Full-time, Permanent

General Manager – Insurance Services

Propel Consult

KEY RESPONSIBILITIES, ACCOUNTABILITIES AND ACTIVITIESGeneral &middot; Process and validate payment requests from workshops, recovery services, and rental car providers accurately and on time.&middot; Verify and reconcile invoices and supporting documentation to ensure compliance with contractual agreements and company policies.&middot; Coordinate with the Motor Claims and Finance teams to resolve payment discrepancies or queries.&middot; Maintain updated payment records and ensure proper documentation for audit purposes.&middot; Liaise regularly with service providers to address payment status, disputes, and other inquiries.&middot; Monitor outstanding payments and ensure timely follow-up on delayed invoices.&middot; Support the implementation of process improvements to enhance payment efficiency and accuracy.&middot; Collaborate with service providers, including workshops, property repairers, and other insurers.<ul><li>Validate and process settlements under various coverages (Hire car, Towing, Loss Adjusters, etc.).</li></ul>BACKGROUND, QUALIFICATIONS &amp; EXPERIENCEQualifications&middot; Proven experience in claims processing, preferably within the insurance or finance industry.&middot; Strong knowledge of claims management processes and payment procedures.&middot; Familiarity with motor insurance and related services is an advantage.Skills&middot; Proficiency in SQL for data analysis and reporting.&middot; Strong attention to detail and accuracy.&middot; Excellent communication skills&mdash;both written and verbal, with fluency in English; Arabic language skills are a plus.&middot; Proficiency in Microsoft Office applications, particularly Excel.&middot; Strong organizational and problem-solving abilities.Job Types: Temporary, Contract

Motor Claims Executive - Payments

Amana Healthcare Bahrain

<div>
 
 
 Job Purpose
 
 
 
 The Inpatient Registered Nurse (RN) provides high-quality, patient-centered nursing care to individuals admitted to the inpatient unit. The role ensures safe clinical practice, accurate documentation, multidisciplinary coordination, and compliance with hospital policies, regulatory standards, and patient safety guidelines.
 
 
 
 Key Roles &amp; Responsibilities
 
 
 
 
 1. Patient Care &amp; Clinical Practice
 
 
 <ul>
 <li>
 Assess, plan, implement, and evaluate individualized patient care plans.
 </li>
 <li>
 Perform comprehensive nursing assessments and identify patient needs.
 </li>
 <li>
 Provide direct nursing care including medication administration, wound care, vital signs monitoring, IV therapy, and patient hygiene.
 </li>
 <li>
 Ensure timely response to patient needs, alarms, and changes in condition.
 </li>
 <li>
 Maintain infection control standards and follow IPC guidelines.
 </li>
 </ul>
 
 
 2. Monitoring &amp; Reporting
 
 
 <ul>
 <li>
 Monitor patient progress and document all nursing interventions in EMR/clinical records.
 </li>
 <li>
 Report any significant changes in patient condition to the physician or nurse manager promptly.
 </li>
 <li>
 Ensure accurate handover communication during shift changes.
 </li>
 </ul>
 
 
 3. Care Coordination
 
 
 <ul>
 <li>
 Collaborate with physicians, therapists, dietitians, and other healthcare professionals to optimize patient outcomes.
 </li>
 <li>
 Participate in multidisciplinary rounds and care conferences.
 </li>
 <li>
 Support discharge planning and ensure continuity of care.
 </li>
 </ul>
 
 
 4. Patient &amp; Family Education
 
 
 <ul>
 <li>
 Educate patients and families about care plans, medications, procedures, and health maintenance.
 </li>
 <li>
 Provide emotional support and promote a positive patient experience.
 </li>
 </ul>
 
 
 5. Safety &amp; Quality Compliance
 
 
 <ul>
 <li>
 Adhere to hospital clinical policies, nursing protocols, and regulatory standards (e.g., JCI, NHRA).
 </li>
 <li>
 Promote a safe environment by identifying and reporting hazards, incidents, or near misses.
 </li>
 <li>
 Participate in quality improvement initiatives, audits, and mandatory training sessions.
 </li>
 <li>
 Maintain strict confidentiality of all patient information.
 </li>
 </ul>
 
 
 6. Teamwork &amp; Professional Behavior
 
 
 <ul>
 <li>
 Demonstrate professional conduct aligned with the hospital&rsquo;s values and code of ethics.
 </li>
 <li>
 Support colleagues and contribute to a positive team culture.
 </li>
 <li>
 Perform duties assigned by the Nurse Manager in emergency or special situations.
 </li>
 </ul>
 
 
 Qualifications &amp; Experience
 
 
 
 
 Education
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree in Nursing (BSN) or equivalent.
 </li>
 </ul>
 
 
 Licensure
 
 
 <ul>
 <li>
 Valid Nursing License/Registration from the national regulatory authority (NHRA or equivalent).
 </li>
 <li>
 BLS certification (mandatory); ACLS/PALS preferred depending on unit.
 </li>
 </ul>
 
 
 Experience
 
 
 <ul>
 <li>
 Minimum 3&ndash;5 years of inpatient/acute-care nursing experience.
 </li>
 </ul>
 
 
</div>

Registered Nurse

Era Projects

Senior Quantity Surveyor (SQS) &ndash; ConstructionLocation: Bahrain Industry: Construction / Contracting / Civil Engineering Experience: 5-7 Years in Quantity Surveying (Construction ProjectsJob SummaryThe Senior Quantity Surveyor will manage all cost, commercial, and contractual aspects of construction projects. The role includes quantity take-off, cost control, contract management, variation claims, subcontractor handling, and preparing financial reports to ensure project profitability and compliance with contract conditions.Key Responsibilities1. Quantity Take-Off &amp; Cost Management<ul><li>Prepare, verify, and approve detailed quantity take-offs for civil, structural, architectural, and MEP works.</li><li>Develop and monitor project budgets, cost plans, and cash flow forecasts.</li><li>Review and validate tender BOQs and cost estimates.</li></ul>2. Contract &amp; Commercial Management<ul><li>Manage contractual obligations under FIDIC or similar contract standards.</li><li>Prepare, review, and negotiate variation orders (VOs) and claims.</li><li>Review contract terms, identify commercial risks, and implement mitigation strategies.</li><li>Prepare contractual correspondences to clients, consultants, and subcontractors.</li></ul>3. Progress Valuation &amp; Payment Applications<ul><li>Prepare monthly progress valuations for client billing.</li><li>Verify and certify subcontractor monthly invoices.</li><li>Conduct joint measurement with site teams and consultants.</li></ul>4. Tendering &amp; Procurement Support<ul><li>Review subcontractor quotations, conduct comparisons, and prepare recommendations.</li><li>Assist in tender documentation, pricing, and bid submissions.</li><li>Evaluate material and supplier proposals to ensure compliance with specifications.</li></ul>5. Site Coordination &amp; Measurement<ul><li>Conduct site visits to verify progress and measure work done.</li><li>Coordinate closely with site engineers, planning engineers, and the project team.</li><li>Maintain updated records of approved drawings, revisions, and site instructions.</li></ul>6. Reporting &amp; Documentation<ul><li>Prepare monthly commercial reports, cost summaries, and budget status updates.</li><li>Maintain logs for variations, claims, payments, drawings, and contractual letters.</li><li>Ensure proper documentation for audits, project closeout, and final account preparation.</li></ul>7. Team Leadership<ul><li>Guide and mentor Junior QS staff.</li><li>Lead commercial discussions and support senior management in decision-making.</li></ul>Job Types: Full-time, PermanentPay: BD400.000 - BD600.000 per month

Senior Quantity Surveyor – Construction

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