Medical Operations Officer

𝐉𝐎𝐁 𝐒𝐔𝐌𝐌𝐀𝐑𝐘
As a Medical Operations Officer professional responsible for both new business and renewals placement, the role entails overseeing daily operations and endorsement processing while ensuring compliance with prevailing regulations, also manage system requirements and developments, maintaining communication channels with clients, brokers, and TPAs. Additionally, prepare and process policies, endorsements, and accounting documents, alongside maintaining physical and electronic files for regulatory audit and record-keeping purposes, ensuring efficient and transparent operations within the organization.

𝐐𝐔𝐀𝐋𝐈𝐅𝐈𝐂𝐀𝐓𝐈𝐎𝐍𝐒, 𝐒𝐊𝐈𝐋𝐋𝐒 & 𝐄𝐗𝐏𝐄𝐑𝐈𝐄𝐍𝐂𝐄:
1. Bachelor’s Degree in Insurance or Business Administration is the minimum academic requirement.
2. Possession of insurance-related certifications and licenses mandated by UAE regulations is necessary.
3. A minimum of five years’ experience specifically in medical insurance within the UAE market is required.
4. Proficiency in Microsoft applications, particularly Advanced Excel and analytical software, is essential.

𝐉𝐎𝐁 𝐑𝐄𝐒𝐏𝐎𝐍𝐒𝐈𝐁𝐈𝐋𝐈𝐓𝐈𝐄𝐒:
1. Issue policies, process daily requests, and manage relevant accounting documents and endorsements on the system, maintaining an organized filing and archiving system consistently.
2. Coordinate with TPAs to ensure data consistency between their records and company data registered in the system.
3. Address client/broker inquiries, providing updates on regulatory requirements, policy coverage, terms, and conditions.
4. Generate reports from both TPA and internal systems, including loss ratio reports, renewal offers, and regulatory reporting data.
5. Perform regulatory uploads, obtain necessary product approvals, and ensure compliance with regulatory requirements in day-to-day processing and across assigned portfolios.
6. Ensure prompt transaction processing and follow-up on premium collections.
7. Prepare various certificates as required.
8. Stay updated on U.A.E. health insurance regulations and communicate relevant updates to partners and clients.
9. Manage operations for major clients and conduct corporate presentations.