Responsibilities:
1. Ensure the proper implementation of the established policies and procedures in the department
2. Participate in the development and continuous improvements of the Medical Department policies and procedures and recommend any changes.
3. Participates in the development of the medical insurance strategy aiming at achieving the targeted business plan.
4. Prepare annual budget for the Medical Department in accordance with preset budget preparation procedures and submit to the CM.
5. Ensure proper underwriting to each quotation submitted.
6. Overview requests regarding changes in policies' terms and conditions.
7. Review and compare periodic reports and suggests action plans to keep up with the required growth and profitability.
8. Approve the summary of the Department premiums and claims at year-end and report same to the CM.
9. Review and approve the claims bordereaux sent by the TPA
10. Handle the TPA Service Agreement for each Area and ensure applying its terms and conditions
11. Present the Reinsurance Statements of Accounts to the CM for authorization and approval of remittance to the Reinsurer by the related Areas.
12. Coordinate with the Reinsurance Department on matters relating to the Reinsurance Treaties Terms, Structures and negotiations.
13. Coordinate with the Reinsurer and the TPA on every aspect of the medical operation
14. Ensure proper training and full support to all medical staff under his/her responsibility.
15. Meet with the Department Supervisor to discuss business operations and staff performance.
16. Review with CM the business plan and discuss the means for achieving the targets.
17. Perform other related duties as assigned or requested by CM
Qualifications:
• Bachelor’s degree
• Pursuing a formal underwriting training (ACII, etc.) is desired
• Has a minimum of ten to fifteen years’ experience in insurance, seven of which in the same line.
• Must be fluent in both English & Arabic