Job Description

Takaful Emarat-Insurance (P.S.C), established in 2008, is a leading Shariah-compliant provider of Life and Health Takaful solutions in the UAE. The company offers a variety of individual and corporate Takaful products, including protection, savings, and investment plans. With a focus on ethical financial practices, Takaful Emarat serves its clients through various efficient distribution channels. Recognized as a trusted name in the industry, the company is committed to providing innovative and customer-centric insurance solutions.

Responsibilities

1. Policy Issuance & Renewals

• Supervise and support the processing of group and individual medical policy issuance and renewals in line with company guidelines and approved TATs.
• Review submitted documents to ensure completeness and accuracy before approval and processing.
• Coordinate with TPAs for system uploads, member activation, and medical card issuance.
• Ensure policies are accurately issued on core systems (e.g., INSIS or equivalent) and assist in resolving system-related issues.

2. Endorsements & Modifications

• Supervise the processing of policy endorsements, including additions, deletions, and modifications for group and individual policies.
• Review endorsement requests for documentation completeness and policy compliance prior to implementation.
• Ensure accurate system updates and invoicing for all endorsements.
• Coordinate with TPAs and internal teams to ensure timely execution of endorsements.

3. Cancellations & COC Issuance

• Oversee policy cancellations in accordance with regulatory requirements and internal policies.
• Review and ensure timely issuance of Certificates of Continuity (COC) within approved timelines.
• Coordinate with Finance for refunds and financial adjustments, where applicable.

4. Operational Support & Team Supervision

• Supervise daily operations of the medical operations team to ensure productivity, quality, and adherence to service levels.
• Allocate tasks, monitor daily queues, and support timely closure of operational requests.
• Handle and support operational requests such as ICP linking, invoice copies, invoice corrections, and category changes.
• Act as a first-level escalation point for DHPO, system, and operational issues in coordination with IT and TPAs.

5. Compliance & Quality Control

• Ensure medical operations activities comply with regulatory requirements and internal policies.
• Conduct regular quality checks on processed cases and provide feedback to team members.
• Maintain proper documentation and audit trails for all activities.
• Support internal and external audits by providing accurate data and records.

6. Stakeholder & Client Support

• Act as a point of contact for Sales and Customer Service for operational clarifications.
• Support escalation handling within assigned authority levels.
• Provide timely and accurate status updates to brokers and internal stakeholders.

Qualifications

Bachelor’s degree in insurance, Business Administration, or a related field.

Preferred Professional Certifications: 

o CII

o FLIM

Preferred Experience:

·5-7 years of experience in Medical Insurance Operations within a mid-to-large insurance company.

Minimum 3 years of experience in medical insurance operations, including team supervision.

Hands-on experience with TPAs and core systems (INSIS or equivalent).

Strong understanding of endorsements, cancellations, and COC issuance.

Good leadership, coordination, and problem-solving skills.

Candidates who meet the required experience are welcome to visit our Dubai Office for a walk-in interview anytime between 12:00pm and 2:00pm (Monday to Friday)