Specialist, Medical Insurance Administration III

Maaden
Riyadh
Workplace: OnsiteFull timeFunction: Insurance & ActuarialExperience: 2+ yearsEducation: bachelorsSkills: ["Communication","Stakeholder management","Analytical thinking","Problem solving","Time management"]

Manage and administer employee medical insurance services, work injury processes, and healthcare coordination to ensure compliance with regulatory requirements and company policies. Oversee CHI-compliant insurance administration, coverage inquiries, claims validation, and GOSI registration/reporting for work-related injuries. Coordinate pre-employment medical exams and healthcare provider quality, maintain medical records, and arrange medical travel for employees needing specialized treatment.

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Maaden
Maaden
21 hours ago

Specialist, Medical Insurance Administration III

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Last checked: 13 hours agoStatus: Live

Job Summary

Manage and administer employee medical insurance services, work injury processes, and healthcare coordination to ensure compliance with regulatory requirements and company policies. Oversee CHI-compliant insurance administration, coverage inquiries, claims validation, and GOSI registration/reporting for work-related injuries. Coordinate pre-employment medical exams and healthcare provider quality, maintain medical records, and arrange medical travel for employees needing specialized treatment.
Location: Riyadh
Workplace: Onsite
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Mid level

Key Responsibilities

  • •Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations.
  • •Coordinate insurance approvals, coverage inquiries, escalations, and monitoring of medical coverage limits.
  • •Review, validate, and process employee medical expense claims according to company policies.
  • •Manage GOSI registration, reporting, and follow-up for all work-related injury cases.
  • •Coordinate healthcare services including provider quality oversight, pre-employment medical examinations, and medical travel arrangements for specialized treatment.

Key Requirements

  • •Bachelor’s degree in healthcare administration, Business Administration, Human Resources, or a related field.
  • •Minimum 2 years of experience in medical insurance administration, healthcare services, employee medical support, or a related healthcare field.
  • •Knowledge of Health Insurance Council (CHI) Regulations.
  • •Experience managing GOSI registration and related reporting for work-related injury cases.
  • •Ability to review, validate, and process employee medical expense claims in line with company policies.
Experience:2+ yearsHealthcare
Education:Bachelor's in healthcare administration, Business Administration, Human Resources, or a related field
Skills:CommunicationStakeholder managementAnalytical thinkingProblem solvingTime management
Languages:English
Tech Stack:Microsoft OfficeExcelWordPowerPointOutlook

Company Brief

Maaden
Ma’aden (Saudi Arabian Mining Company) is a Riyadh‑based, state‑linked mining and metals group developing integrated value chains across gold, phosphate, aluminium, copper and industrial minerals to support Saudi Arabia’s industrial transformation and Vision 2030.
Industry: Mining & Metals
Company Size: Enterprise (1,001+ employees)
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Riyadh, Saudi Arabia
Founded: 1997
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