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Insurance Manager – Clinical Background Required
Negotiable Salary
Indeed
Full-time
Onsite
No experience limit
No degree limit
Miswaco, Doha, Qatar
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**Role and Responsibilities:** · Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded. · Key Outputs Prospective Insurance companies identified, agreements reviewed, the selection made, and contracts awarded. · Insurance policies implemented after the agreement is signed. · Follow up and negotiations with Insurance Companies where needed to ensure approval of problematic cases. · Exhausted benefits identified in close liaison with re\-submission team to ensure maximum recovery from Insurance companies. · Insurance protocols complied with at all times. · Disallowance reconciliation and mutual settlement coordinated with Insurance Companies. · Insurance disallowance write\-offs coordinated with Accounts Receivables department after proper reconciliation. · Disallowance reasons evaluated, improvement areas identified, and changes implemented. · Submission of Insurance department statistics on a monthly basis. · Work distribution within insurance team/coaching of insurance team members. · Management of regional operational insurance programs (property\-business interruption, third\-party liability) including service agreements with brokers. · Regularly review outstanding claims and liaise with the Management/Finance Department to ensure the adequacy of claim reserves. · Prepare all statistics required by Management including rejections, insurance company breakdown of revenue \& claims. · Achieve monthly team targets in terms of claims processed. Communicate with other department managers pertaining to issues related to claims processing and vice versa. · Oversees operational systems, processes, and infrastructure while looking for opportunities of improvement or revision. · Anticipates and tracks insurance and tactical risks and providing strategic solutions. · Manages day to day business of the Insurance department while balancing the responsibilities of various business lines such as business analysis. · Works with other teams to help set and meet daily and quarterly goals. · Works closely with GM on other special planning and departmental projects. · Oversees and reports weekly, monthly, quarterly, and annual metrics. · Identifies trends and assess opportunities to improve processes and execution. · Completes reasonability testing and information validation prior to circulating findings and recommendations to key stakeholders. · Collaborates with other back\-office team members to ensure seamless business execution, reinforce positive morale, and uphold company values. · Collaborates with transitions and onboarding team as needed. · Raises and tracks issues and conflicts, remove barriers, resolve issues of medium complexity involving stakeholders and escalate to appropriate level when required. · Assesses a variety of situations and provide clarity to team and stakeholders. · Establishes and maintains credible, professional relationships with clients, internal business lines, and external vendors. · Solicits and responds to feedback while gaining commitment and support. · Supports back\-office and firm\-wide training programs, reinforcing tech and operations infrastructure between departments to ensure consistency and quality standards are met. · Stays up to date on industry regulations, trends, and technology. · Works closely with management team to ensure all operational, administrative, and compliance functions within the firm are being properly executed in accordance to regulatory\-based best practices. · Any other task as assigned by management on a time\-to\-time basis as per the organization's needs. Job Type: Full\-time

Source:  indeed View original post
Fatima Al-Kuwari
Indeed · HR

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