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Job Description
•Ensure high customer satisfaction in line with BUPA values and business strategy
•Ensure all cases adjudicated by the team is based on common medical practice and aligned with BUPA protocols and policy .
•Liaise with medical and non-medical staff at providers to ensure quality healthcare service for our members
•Maintain and update a database for the treating doctor and provider/hospital service delivery review of the customer experience based on clearly defined matrix and service levels
•Ensure compliance to SAMA and CCHI regulations during medical adjudication.
•Ensure achiving the daily Targets in term of productivity and speed answer for adjudicated requests
•Ensure proper interpretition and usage of clinical skills
Skills
•Minimum Bachelor degree in Medicine or equivalent whereas a Master degree in medicine/surgery is preferable
•Postgraduate in Medicine / Masters in Business Studies, preferable .
•2-5 years of experience at least in medical field ( Hospital practicing ) or at insurance field
•Excellent communication skills in both English and Arabic
•Leadership and Analytical skills
Education
MBBS/ Medicine
Job Details
Preferred Candidate
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.
