Specialist, Medical Management

Job description

Manage and administer employee medical insurance services, work injury processes, and healthcare coordination activities while ensuring compliance with regulatory requirements and company policies. Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations. Coordinate insurance approvals, coverage inquiries, escalations, and monitor 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 pre‑employment medical examinations for new hires. Ensure quality and effectiveness of healthcare providers, including company clinics and external facilities. Conduct site visits to hospitals and medical facilities to monitor service quality and compliance with approved standards. Coordinate medical travel arrangements for employees requiring specialized treatment within and outside the Kingdom

Requirements

• proficient in Microsoft Office
• proficient in Excel
• proficient in Word
• proficient in PowerPoint
• proficient in Outlook
• proficient in English language
• knowledge of Human Resources
• knowledge of insurance systems
• experience in teamwork
• experience in problem solving

Skills

Benefits

• Maintain accurate medical insurance and employee healthcare records.
• Support employees with medical insurance inquiries and healthcare service requirements.