Specialist Medical Insurance Administration III📣 Job Ad

About Ma'aden and the Role

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 plays a key role in developing the mining industry to become the third pillar of Saudi Arabia’s economy by building a world-class, fully integrated mining value chain. We are seeking a Specialist, Medical Insurance Administration III to join our team in Riyadh, Saudi Arabia, in a full-time capacity.

Role Purpose

The Specialist, Medical Insurance Administration III is responsible for managing and administering employee medical insurance services, overseeing work injury processes, and coordinating healthcare activities. This role ensures adherence to regulatory requirements and company policies, providing essential support for employees' medical needs through effective insurance administration, claims management, healthcare provider coordination, and occupational health compliance.

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.

Required Experience and Competencies

• A minimum of 2 to 5 years of relevant experience in medical insurance administration or a related field.
• Demonstrated competencies in: Teamwork, Integrity, Care, Ownership, Communication, Accountability, Customer Focus, Analytical Thinking, Problem Solving, Planning and Organizing, and Service Excellence.

Company Overview

Ma'aden is committed to leading the development of Saudi Arabia's mining industry, building a fully integrated mining value chain. Joining Ma'aden means contributing to a strategic sector that supports the Kingdom's economic diversification and growth.

Application Information

Candidates who meet the above requirements are encouraged to apply for this full-time position in Riyadh.