Walaa Cooperative Insurance Co.
The Medical Pre-Authorization Officer is responsible for evaluating and processing pre-authorization requests for medical services, ensuring compliance with company policies, insurance guidelines, and medical necessity criteria to facilitate efficient…
Walaa Cooperative Insurance Co.
Key Responsibilities 1. Claims Processing & Adjudication Review and process outpatient, inpatient, and reimbursement claims. Validate claims against policy coverage, exclusions, and limits. Ensure completeness of documentation (medical reports,…
Walaa Cooperative Insurance Co.
Handle inquiries received through WhatsApp groups, emails, telephone calls, CRM systems, and other approved communication channels. Provide professional, courteous, and timely responses while maintaining excellent customer service standards. Take…
Walaa Cooperative Insurance Co.
The principal responsibility is to ensure that the employee satisfies its obligation by handling all the required reinsurance tasks promptly, such as but not limited to the following: Ensure…
Walaa Cooperative Insurance Co.
Duties and Responsibilities: Managing a group of hospitals to ensure that inpatient customers are receiving optimal healthcare within agreed quality parameters. The Roving Doctor provides medical expertise across multiple…
Walaa Cooperative Insurance Co.
Job title: Medical operations and system supervisor Key responsibilities: Production Monitoring and Reconciliation Oversee the end-to-end production cycle for the Medical Department to ensure completeness, accuracy, and operational continuity.…
Walaa Cooperative Insurance Co.
Duties & Responsibilities: Review and adjudicate Retail and Corporate Claims. Make informed decisions in line with authority matrix, policy terms and regulatory guidelines. Register and Process claims on company…
Walaa Cooperative Insurance Co.
Duties & Responsibilities: Fraud, Waste, and Abuse (FWA) Prevention & Detection Identify fraudulent claims, wasteful billing practices, and abusive patterns using analytics and audits. Develop and implement anti-fraud policies,…
Walaa Cooperative Insurance Co.
We are pleased to share this Tamheer training opportunity at Walaa Cooperative Insurance Co. At Walaa Cooperative Insurance Company, we are dedicated to developing and empowering Saudi talent across…