Specialist Medical Insurance Administration📣 إعلان

منذ ساعتين تقريبا

	نوع العقد	دوام كامل
	طبيعة الوظيفة	بالموقع
	الموقع	الرياض

وصف الوظيفة

About Ma'aden

Ma'aden, established in 1997, is recognized as one of the fastest-growing mining companies globally and the largest multi-commodity mining and metals company in the Middle East. The company is instrumental in developing the mining industry, aiming to establish it as the third pillar of Saudi Arabia’s economy through a world-class, integrated mining value chain.

The Role

Ma'aden is seeking a Specialist, Medical Insurance Administration to join its team in Riyadh. This full-time role focuses on managing and administering employee medical insurance services, overseeing work injury processes, and coordinating healthcare activities. The Specialist ensures compliance with regulatory requirements and company policies, supporting employees' medical needs through effective insurance administration and claims management.

Key Responsibilities

Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations.
Coordinate insurance approvals, coverage inquiries, escalations, and monitor medical coverage limits.
Review, validate, and process employee medical expense claims according to company policies.
Manage GOSI registration, reporting, and follow-up for all work-related injury cases.
Coordinate pre-employment medical examinations for new hires.
Maintain accurate medical insurance and employee healthcare records.
Support employees with medical insurance inquiries and healthcare service requirements.
Ensure the quality and effectiveness of healthcare providers, including company clinics and external medical facilities.
Conduct site visits to hospitals and medical facilities to monitor service quality and compliance with approved healthcare standards.
Coordinate medical travel arrangements for employees requiring specialized treatment within and outside the Kingdom.

Qualifications and Experience

Bachelor’s degree in Healthcare Administration, Business Administration, Human Resources, or a related field.
Minimum of 2 to 5 years of experience in medical insurance administration, healthcare services, employee medical support, or a related healthcare field.