Medical Insurance

Client of LeadingEdge HR Solutions

Job Title: Medical Manager

Industry: Insurance

Location: GCC (Willing to relocate)

Job Summary:

Our client is seeking Medical Manager to lead underwriting and claims operations, ensuring compliance and exceptional service quality through Third-Party Administrators (TPAs).

Key Responsibilities

- Underwriting & Claims Management: Oversee underwriting and claims processes, ensuring smooth operations and optimal performance.

- Client & Business Development: Support new business acquisition, client servicing, and prepare quotations and policy terms.

- Operational & Financial Oversight: Manage premium registers, claims summaries, and follow-ups on receivables.

- Medical Network & Service Coordination: Liaise with healthcare providers to ensure efficient customer service.

- Strategic & Market Analysis: Conduct market studies, provide strategic insights, and generate MIS reports.

Requirements

- Experience: 5-6 years of relevant experience in the insurance industry, preferably in a similar environment, with at least 2+ years in a managerial role.
Education: University graduate with a degree in a relevant field (e.g., medicine, healthcare, business, finance).
- Certifications: Professional certification/membership in a relevant field (e.g., insurance, healthcare management) from a recognized institution.
- Strong understanding of underwriting and claims processes.
- Familiarity with insurance regulations and compliance.