Job Summary:

The Medical Approval Specialist is responsible for reviewing and approving payment on  pre-approvals received from hospitals/clinics between $1 & $5,000; the incumbent will respond to all members/clients queries ensuring high level of customer medical necessity and satisfaction.

Main functions and responsibilities:

1. Review and approve payment against  Pre-approval received from hospitals/clinics on medical cases between $1 and $5,000 after review of medical reports,   documents & insurance details making sure they are in accordance with required conditions and policy terms.

2. Consult with the Provider Relation Department for any discrepancy in price or CPT code of the provider  pre-approval.

3. Coordinate & follow up with Clinical Team for any complex admission case.

4. Respond to clients/members calls and queries related to their  pre-approvals status  , eligibility, plan benefit coverage and other queries related to member’s policy terms & conditions.

5. Handle medical cases related to areas of specialization.

6. Book every call/ complaint and Support the Customer Service Department for any query related to clients’  pre-approvals.

7. Assist in the department process improvements and make recommendations to Team Leader.

8. Process requests for pre-certification from providers (hospitals/clinics) in the approvals module of the Company’s Claims Management System (CMS) by applying policy terms and conditions.

9. Adhere to the contents of the Operating Procedures Manual (OPM) and the Company’s overall procedures and policies.

10. Miscellaneous tasks within the scope of work, as assigned by the direct manager.

11. Schedule on rotated shifts and weekends as assigned by the direct manager.

Education/ Certifications

MBBS degree

Practical/ Technical Experience

2 years’ experience, preferably in health insurance field

The AVP/VP – International Private Medical Insurance (IPMI) will be responsible for leading the strategy and operation for the company’s international health insurance portfolio. This role requires a deep understanding of IPMI risk assessment, global healthcare markets, and regulatory frameworks, ensuring the company remains competitive while maintaining profitability and compliance. The position also demands strong leadership in partnering with reinsurers, optimizing operational processes, and driving distribution growth across multiple markets.

Key Responsibilities:

• Develop and execute underwriting strategies to maintain portfolio profitability and sustainable growth.
• Ensure compliance with regional and global insurance regulations, implementing best practices in risk assessment.
• Manage reinsurance treaties and relationships with global reinsurers to ensure optimal risk transfer solutions.
• Oversee policy administration, claims management, and service delivery to enhance operational efficiency.
• Collaborate with IT teams to enhance customer experience through digital transformation.
• Ensure operational excellence in policy issuance, premium collection, and customer servicing across markets.
• Develop and implement distribution strategies, including partnerships with brokers, and corporate clients.
• Identify new markets and growth opportunities in international health insurance.
• Strengthen relationships with key brokers to increase market penetration and sales performance.

Key Qualifications & Experience:

• 10+ years of experience in International Private Medical Insurance (IPMI), with focus on distribution within the health insurance industry.
• Strong expertise in technical underwriting, claims analytics, and risk management for international medical insurance.
• Experience managing reinsurance treaties and negotiations with global reinsurers.
• Proven leadership in operations optimization, including digital transformation initiatives in underwriting and claims.
• Solid understanding of global health insurance markets, regulations, and competitive landscape.
• Excellent stakeholder management skills, with experience in building relationships with brokers.
• Strong analytical, problem-solving, and decision-making abilities.
• MBA, preferred but not mandatory

Our TPA, SAICO Healthcare in Bahrain is currently looking for a Compliance Officer with 3-5 years experience in compliance or finance or legal business.

Job Summary

Responsible for ensuring that the Company’s activities in different jurisdictions are in adherence with all applicable laws, rules and regulations to the Company

Main Responsibilities

• Assists in developing and maintaining the Company’s Compliance policies and procedures.
• Monitors and ensures day-to-day compliance with the Company’s own internal Compliance policies and procedures and the applicable laws/regulations.
• Reports on the effectiveness of the licensee’s AML/CFT controls, for consideration by senior management.
• Works with the Human Resources Department and other department as appropriate to develop an effective and adequate arrangement for staff awareness and training on AML/CFT matters.
• Acts as an independent review and evaluation body to ensure that compliance Issues/concerns within the Company are being appropriately evaluated, investigated and resolved.
• Actively participates in developing, initiating, maintaining, and revising policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
• Actively participates in developing and periodically reviewing and updating standards of compliance conduct to ensure continuing currency and relevance in providing guidance to management and employees.
• Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.

Education Degree

• Bachelor's Degree in Law/Business/Finance
• CAMS certification is preferred

Job Summary:

The Data Management Team Leader is responsible for overseeing the activities and productivity of Data Management Team. This position will be the IT lead for PRD. This position will also be responsible for the Quality maintenance of the PRD related system information.

Main functions and responsibilities:

1. Manage the activities and productivity of Data Management including the quality check, data security, Provider status & contact details. Ensure compliance of the data with legal regulations.

2. In Charge of liaising with IT & other Departments for all IT & System related issues/ activities/projects including AI, automation & system enhancement projects.

3. Monitor database performance and report gaps/challenges. Suggest automation & enhancement plans accordingly. Make sure the information is protected and backed-up.

4. Responsible to make the regular periodic update & distribution of Provider Manual.

5. Preparation, Dissemination and Archiving of SACIOHEALTH circulars/ notifications as required.

6. Commercial Reconciliation of non-strategic providers including maintenance of updated Recon Module & tracker

7. Monitor Regulatory portals for updated notices & circulars. Track and archive all regulatory circulars & notices, ensuring their timely implementation.

8. Weekly monitoring of effective functioning of BOT by checking with updated medicine pricelists in the regulatory portal. Monitor other automated Activities.

9. Administer systems and procedures documentation. Support the direct manager to prepare Policies & Procedures.

10. Prepare monthly NW list, Productivity reports and other needed reports or data with analysis when requested. Assist the Direct Manger in preparing Presentations

Education

• Bachelor degree in Computer Science IT/ Business/ Healthcare

Technical Knowledge

• Knowledge/Experience in CPT & DRG is an added advantage

Our office in Bahrain is currently looking for an Underwriter with experience in General Insurance.

Job Summary:

• Actively assist department manager to underwrite risks and manage portfolios of different classes of risks.
• Propose and recommend terms and conditions in respect of risks/policies, adhering to underwriting guidelines, authority limits, treaty limits and treaty conditions at all times. Present such terms for approval of senior underwriter or direct manager.
• Underwrite risks within the scope of assigned underwriting authorities.
• Complete necessary documents and forms relating to respective underwriting transactions for the review of the direct manager as prescribed in the underwriting guidelines and procedures manuals.

Main Responsibilities:

• Assess the risks offered and review underwriting information including proposal forms.
• Deal with referrals from regional offices in a timely and professional manner.
• Support department head to improve underwriting performance and profitability across all lines of business.
• Meet with clients and brokers as and when required. Maintain good contacts and cordial business relationship with them over phone on an ongoing basis.
• Ensure responses and quotations are given in a timely manner.
• Ensure renewal reviews for all policies are carried out in time every month to be able to invite renewals 30 days in advance
• Process important and/or complex policy documentation as and when required.
• Review all documents produced by Processors to ensure they reflect inter alia the correct terms, conditions, sum insured, premium and deductibles.
• Assist department head in preparation of reinsurance treaty renewal information and other information with regard to reinsurance treaties as and when required.
• Assist department head in preparation of budgets and various reports including MIS as and when required

Qualifications and experience"

• University degree is a must. Additionally, holder of professional qualifications e.g. CII or Dip CII.
• 5+ years of experience.

Job Summary

Our office in Bahrain is currently recruiting for a Bahraini national Business Development Executive to contribute to the growth of our portfolio for all lines of business at DAMANA by strategically identifying and directly engaging with potential clients to secure new businesses and proposals. For this position, we are looking for candidates with 1 or 3 years of experience in sales, preferably with an insurance broker or an insurance provider.

Responsibilities

• Build a strong pipeline of prospective clients.
• Maintain and build relations with insurance brokers as a way to reach out to new clients.
• Strategize innovative ways to reach new clients.
• Have a good working knowledge of the insurance products available, insurance trading conditions, the Company’s products and services.
• Review contracts as required.
• Demonstrate detailed knowledge and understanding of the insurance market, insurance principles and the ability to apply them in the day-to-day activities.
• Tailor product offering to client’s needs.
• Demonstrate an understanding of the concept of risk and how variables can affect the client, decisions in all classes of business.

Qualifications

Bachelor’s degree

Preferred Skills

Experience in sales/business development