Saudi Arabia Job Openings
Bupa Arabia
Medical Preauthorization
Jeddah
August 27, 2024
Job Description
- Adjudicate the cases (In-Patient & Out-Patient) based on common medical prcatice and inline with Bupa protocols and policy .
- Ensure the decisions are according to the best medical standards and agreement terms & conditions in order to prevent abuse, fraud and overtreatment
- Ensure working with high quality of decision making with Zero QDI (Quality Demerit Index) A or B
- Ensure the medical decisions are consistent and are implemented based on clinical and practice guidelines signed off by the organization.
- Ensure high customer satisfaction in line with BUPA values and business strategy
- Ensure achieving the daily targets in terms of productivity & speed of response.
- Ensure proper interpretation and usage of clinical skills
- Report all high value calims as per agreed process.
- Highlight and report fraud, abuse, and anti-selection.
- Apply terms and conditions of BUPA declaration policy in SME products.
- Follow CCHI policy’s terms and conditions
- Constantly upgrade his knowledge and experience in order to meet challenges.
- Offer professional help to the rest of his team members.
- Provide positive feedback and help in solving problems
Skills
- Valid Saudi Commission
- Clinical experience in General practitioner / Emergency / Family Medicine
- Insurance experience preferable
- Minimum 3 years of clinical experience excluding internship year.
New Job Alerts
Arab Center for Engineering Studies
Senior Geotechnical Engineer - KSA
Riyadh
September 23, 2024
View Job DescriptionCareer Maker
General Manager Property Sales
Riyadh
FULL TIME
September 23, 2024
View Job DescriptionArab Center for Engineering Studies
Senior Civil Engineer - Materials - KSA
Riyadh
September 23, 2024
View Job DescriptionHewlett Packard Enterprise
Graduate HPC Technical Consultant
Riyadh
FULL TIME
September 23, 2024
View Job DescriptionReigate Grammar School RiyadhSaudi Arabia
Data Manager
FULL TIME & CONTRACT
September 23, 2024
View Job DescriptionLooking for similar job?
Ferring Pharmaceuticals, Inc.
Medical Representative- Jeddah, Saudi Arabia
Riyadh
FULL TIME
September 1, 2024
View Job DescriptionStryber
Medical Obesity Specialist (Endocronologist, Internal Medicine, Bariatric) - Healthtech
Riyadh
September 2, 2024
View Job DescriptionCellsave Arabia
Female Medical Representative
Riyadh
FULL TIME
September 4, 2024
View Job DescriptionTalent Pal
Hardware Field Service Engineer - Varian Medical Systems
August 30, 2024
View Job DescriptionNew Job Alerts
Arab Center for Engineering Studies
Senior Geotechnical Engineer - KSA
Riyadh
September 23, 2024
View Job DescriptionCareer Maker
General Manager Property Sales
Riyadh
FULL TIME
September 23, 2024
View Job DescriptionArab Center for Engineering Studies
Senior Civil Engineer - Materials - KSA
Riyadh
September 23, 2024
View Job DescriptionHewlett Packard Enterprise
Graduate HPC Technical Consultant
Riyadh
FULL TIME
September 23, 2024
View Job DescriptionReigate Grammar School RiyadhSaudi Arabia
Data Manager
FULL TIME & CONTRACT
September 23, 2024
View Job Description