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We are seeking Claims Submission Associates to manage insurance claim adjudication, resubmission, and follow-ups. The role ensures compliance with Saudi insurance regulations and timely claim resolution.
Prepare, validate, and submit insurance claims via NPHIES portal.
Track claim status and resolve rejections or denials.
Reconcile submitted and paid claims with hospital/clinic systems.
Coordinate with TPAs and insurance companies for smooth processing.
Ensure adherence to CHI standards and hospital billing policies.