Job Description

Who we are

GIG Gulf is part of the Gulf Insurance Group (GIG), the #1 largest regional composite insurer in the Middle East and North Africa, with presence in 13 markets including the United Arab Emirates, Bahrain, Oman, Qatar, Saudi Arabia, Algeria, Egypt, Iraq, Jordan, Kuwait, Lebanon, and Turkey. GIG Group reported consolidated assets of US$ 3.83 billion and $69 million net profit for the year 2023. The majority shareholder of GIG Group is Toronto based Fairfax Financial Holding, a global leader in insurance and reinsurance with a presence in 40 markets.

GIG Gulf is an ‘A’ rated regional insurer with a top 5 position in each of its markets (UAE, Oman, Qatar, Bahrain). GIG Gulf has been present in the region for over 70 years with a strategic focus on both growth and investments and is a one stop shop offering a wide range of insurance products and services that cater to a broad variety of needs for corporates, SMEs and individual customers throughout UAE, Oman, Bahrain, and Qatar. GIG Gulf also owns a 50% stake in GIG Saudi. Our strategic objectives and guiding principles are focused on Regional Growth, Customer Experience and Digital Transformation.

GIG Gulf has created a diverse and inclusive working environment and culture with a workforce of over 800 employees, with over 60 nationalities, across 15 branches and retail shops region-wide and over 1 million customers. GIG Gulf is a caring partner that encourages customers to achieve their goals and live an inspiring and fulfilling life. We are obsessed with customer feedback and continuously evolving to become the region’s digital insurer of reference, committed to running our operations in a responsible, sustainable way.

Job purpose:

To be responsible for the management of the medical offering of GIG UAE through setting the strategy of the Network of medical providers in order to achieve GIG financial goals and service aspirations.

Key Responsibilities:

• Gather, analyze and maintain GIG -UAE Medical providers Network & healthcare providers position as well as market insights about the competitive landscape in order to identify potential transformational opportunities to improve GIG Gulf offering
• Promote, adapt and host wellness activities through key Medical partners in alignment with EB teams
• Establish and maintain governance in relation to a range of transformational topics within the Medical Operation and other Services areas
• Review the existing and renewed contracts to identify areas of improvement on commercial terms and operational efficiency and provide his /her recommendation.
• Ensure compliance with relevant regulatory and internal functional requirements.
• Support exceptionally regulators, clients, and members on Medically related relevant escalations
• Pro-actively innovate within the UAE Network and Offering function, and collaborate across various EB functions in order to drive efficiencies within the area
• Managing issues and complaints with Network Providers.
• Assist in managing the Negotiation of the reconciliation with the providers to achieve the set targets.
• Develop and execute business improvement plans in collaboration with Senior Sales Manager -EB and Senior Providers Relations Manager-Gulf oriented to streamline operational processes through synergies, automation, and efficiency
• Prepare presentations and conduct education sessions with the medical staff of the identified providers.
• Support the FWA team by conducting the necessary audits.
• Other activities as directed by the Senior Sales Manager -EB and Senior Providers Relations Manager-Gulf

Operational & Technical Responsibilities:

• Mange the operational aspects and Data Analytics & reporting of the department
• Established service metrics targets, KPI’s SLA’s, in a quality led, regulatory compliant environment
• Support and sponsor system integrations and standardize coding with providers as per regularity framework

Essential Requirements:

• Minimum of 5+ years of in the health insurance / TPA and/or experience in relationship management / medical operations / procurement (medical / health related industries)
• Strategic & Analytical thinking
• Strong Negotiation skills
• Educated to degree level or appropriate professional qualification
• Strong communication (verbal & written), presentation and interpersonal skills
• Solution and delivery focused
• Demonstrated ability to prioritize and follow up
• Self-motivated and proactive
• Outstanding organizational and time management skills