IDB3487 - Medical Insurance Doctor - (Supplemental Workforce - Third Party Contract)

Required Background

A highly skilled and experienced Medical Doctor to oversee insurance transactions and manage staff welfare and wellness programs within IsDBG. The ideal candidate shall have a strong background in healthcare, medical insurance, and employee wellness, along with excellent communication, customer care, and computer skills.

Key Responsibilities

1.          Insurance Transactions:

• Manage and oversee all health insurance-related transactions, including preauthorization, claims processing, and reimbursements.

• Liaise with healthcare providers to ensure accurate and timely resolution for provider the services to the beneficiaries.

• Verify and validate medical documentation for insurance purposes.

• Provide expert medical input to resolve disputes or discrepancies in insurance claims.

2.          Staff Welfare and Wellness:

• Develop, implement, and monitor employee wellness programs to promote physical and mental well-being.

• Conduct health education sessions and workshops for staff on topics such as stress management, nutrition, and preventive care.

• Provide medical consultations and support to employees as needed.

• Collaborate with HR to design policies that enhance staff welfare and productivity.

3.          Communication and Customer Care (Mosanada Program – HSCD Assistance after working hours, during weekends and official holidays):

• Serve as the primary point of contact for insurance-related inquiries from employees and external stakeholders.

• Ensure clear and effective communication between the organization, insurance providers, and healthcare professionals.

• Address employee concerns related to health insurance and wellness programs promptly and professionally.

4.          Healthcare Market Networking:

• Leverage existing connections in the healthcare market.

• Stay updated on industry trends and regulations to ensure compliance and optimize services.

5.          Administrative and Technical Tasks:

• Maintain accurate records of insurance transactions and employee wellness activities.

• Utilize computer software and tools to manage data, generate reports, and streamline processes.

Academic and Professional Qualifications

• Bachelor's degree in Medicine and Surgery.

• Master's degree in healthcare management.

• 5-7 years of experience in the insurance field.

Languages

• English - Mandatory

• Arabic - Preferred