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Insurance Manager

Liya Medical Complex

Posted on October 14, 2019

5 - 10 years Salalah - Oman

Any Graduation. Any European National, Indian, Filipino

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Job Description

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Insurance Manager for a Multi Specialty Medical Clinic in Salalah Oman.

The prime objective of this job title is the the Manager-Insurance leads the insurance function with the objective of streamlining the process of patient insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction. Responsible for overseeing the insurance operations and designing, implementing and training the hospital staff on insurance protocols.

Responsible for supervising operations within a Medical insurance practice. Manages adjusters, investigators, and appraisers. Insurance claims are processed in a timely manner and resolves issues that arise during process.

To promote the image of the Clinics, not only with the patient, but with their relatives, visitors and Insurance representatives.

As an Insurance Manager you must have a clear understanding of the company’s Vision and Mission Statements and be able to translate them into reality through your day-to-day relation with the insurance companies, companions and other hospital staff members.


The main activities can be summarized in the followings:-

- Oversees administration of medical services to Insurance and Corporate patients or/and customers of the clinic.
- Liaises with insurance companies regarding eligibility, payments, reconciliation and other requirements
- Organize training session for concerned employees to develop their understanding of insurance policies and condition.
- Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies.
- Proactively reports critical issues to Management and submits monthly aging and other reports to line manager and Accounts.
- Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in insurance operations.
- Monitors insurance discounts and rejections and prepares & submits periodic reports to the Finance Manager for review.
- Ensures that the insurance schemes are up to date on the system.
- Conducts weekly departmental meetings with staff for updates and to educate them on new work methods
- Attending and organizing the insurance presentation internally and externally.
- Provide the necessary guidance and on-job coaching and in-service training for the staff under your direct supervision;
- Report any up normalities you might notice to the security and/or the concerns department;
- Assume new responsibilities as and when needed.


Insurance / Underwriting / Surveying / Actuary

Desired Candidate Profile

Bachelor degree in Administration or equivalent, required to hold some type of accounting degree with a very good communications skills or equivalent, with a minimum of 5 years work experience with at least 2 in a supervisory position, preferably in a hospital or a medical centre.

Keywords

Insurance Manager Insurance insurance claims Hospital Medical Center

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Liya Medical Complex

Liya Medical Complex

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