31 Health Insurance jobs in Bahrain
Senior Health Insurance Underwriter
22334 Hamad Town, Northern
BHD90000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client is seeking a highly experienced Senior Health Insurance Underwriter to join their esteemed team in a fully remote capacity. This pivotal role involves assessing and pricing health insurance risks for individuals and groups, ensuring the profitability and sustainability of the company's insurance products. The ideal candidate will possess a deep understanding of medical underwriting principles, risk assessment, and regulatory compliance.
Key responsibilities include:
A Bachelor's degree in Actuarial Science, Finance, Business Administration, or a related field is required. A minimum of 6 years of experience in health insurance underwriting is essential. Professional designations such as FLMI, ALMI, or CEBS are highly advantageous. Strong analytical, critical thinking, and decision-making skills are a must. Excellent communication and interpersonal skills are necessary for effective collaboration. Proficiency in underwriting software and data analysis tools is expected. This remote role requires exceptional attention to detail, integrity, and the ability to work independently while meeting strict deadlines. Join a forward-thinking company that values expertise and innovation.
Key responsibilities include:
- Evaluating complex health insurance applications, including medical history, lifestyle factors, and financial information.
- Determining appropriate policy terms, conditions, and premiums based on risk assessment.
- Applying underwriting guidelines and company policies consistently and accurately.
- Analyzing mortality and morbidity statistics to inform pricing strategies.
- Collaborating with sales teams, brokers, and medical professionals to gather necessary information.
- Managing a portfolio of high-value or complex cases.
- Staying current with changes in healthcare regulations, medical advancements, and industry trends.
- Participating in the development and refinement of underwriting policies and procedures.
- Training and mentoring junior underwriters.
- Ensuring compliance with all relevant insurance laws and regulations.
A Bachelor's degree in Actuarial Science, Finance, Business Administration, or a related field is required. A minimum of 6 years of experience in health insurance underwriting is essential. Professional designations such as FLMI, ALMI, or CEBS are highly advantageous. Strong analytical, critical thinking, and decision-making skills are a must. Excellent communication and interpersonal skills are necessary for effective collaboration. Proficiency in underwriting software and data analysis tools is expected. This remote role requires exceptional attention to detail, integrity, and the ability to work independently while meeting strict deadlines. Join a forward-thinking company that values expertise and innovation.
This advertiser has chosen not to accept applicants from your region.
0
Remote Health Insurance Claims Analyst
2700 Riffa, Southern
BHD2200 Monthly
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client is seeking a meticulous and experienced Remote Health Insurance Claims Analyst to join their dedicated virtual team. This fully remote position is crucial for ensuring accurate and efficient processing of health insurance claims, adhering to company policies and regulatory standards. You will be responsible for reviewing submitted claims, verifying eligibility and coverage details, identifying discrepancies, and authorizing or denying payments based on policy terms. This role requires a strong understanding of medical terminology, coding systems (ICD-10, CPT), and healthcare insurance processes. You will conduct investigations into complex or unusual claims, communicate with healthcare providers and policyholders to gather necessary information, and maintain detailed records of claim activities and resolutions. The ideal candidate possesses exceptional analytical skills, a keen eye for detail, and a commitment to accuracy and compliance. Strong communication skills are essential for interacting with internal departments and external stakeholders. Proficiency in claims processing software and a thorough understanding of the healthcare insurance landscape are required. Responsibilities:
- Reviewing and processing health insurance claims accurately and efficiently.
- Verifying patient eligibility, policy coverage, and benefits.
- Identifying and resolving claim discrepancies and errors.
- Authorizing or denying claims based on policy guidelines and medical necessity.
- Investigating complex or potentially fraudulent claims.
- Communicating with healthcare providers, policyholders, and internal teams.
- Maintaining comprehensive and accurate claim documentation.
- Ensuring compliance with all relevant regulations and company policies.
- Staying updated on changes in insurance regulations and medical coding.
- High school diploma or equivalent; Associate's or Bachelor's degree preferred.
- Proven experience as a Health Insurance Claims Analyst or in a similar role.
- In-depth knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
- Familiarity with various health insurance plans and claims processing systems.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Effective written and verbal communication skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage workload effectively in a remote setting.
- Understanding of HIPAA regulations and data privacy.
This advertiser has chosen not to accept applicants from your region.
1
Senior Actuarial Analyst - Health Insurance
10115 Riffa, Southern
BHD110000 Annually
WhatJobs
Posted 4 days ago
Job Viewed
Job Description
Our client is seeking a highly skilled and experienced Senior Actuarial Analyst to join their reputable insurance firm in A'ali, Northern, BH . This role is integral to the financial health and strategic planning of the health insurance division. The successful candidate will be responsible for complex actuarial modeling, pricing, reserving, and risk assessment, providing critical insights that drive business decisions. We are looking for a candidate with a strong analytical foundation, a keen eye for detail, and a deep understanding of the health insurance market.
Responsibilities:
Responsibilities:
- Develop, implement, and maintain sophisticated actuarial models for pricing new health insurance products and renewing existing ones.
- Perform reserving analyses for health insurance liabilities, ensuring accuracy and compliance with regulatory standards.
- Conduct experience studies to analyze claims trends, utilization patterns, and healthcare cost drivers.
- Assess and quantify financial risks associated with health insurance portfolios.
- Collaborate with underwriting, claims, and finance departments to provide actuarial support and insights.
- Prepare actuarial reports and presentations for senior management and regulatory bodies.
- Assist in the development and implementation of new actuarial tools and methodologies.
- Monitor industry trends and regulatory changes impacting the health insurance sector.
- Mentor and guide junior actuarial staff, fostering their professional development.
- Contribute to strategic planning initiatives by providing data-driven actuarial perspectives.
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field.
- Progress towards or completion of Actuarial Fellowship (e.g., FSA, FIA) is highly preferred.
- Minimum of 5 years of progressive actuarial experience specifically within the health insurance industry.
- Proficiency in actuarial software and programming languages (e.g., SAS, R, Python, SQL, Prophet, Emblem).
- Expertise in health insurance pricing, reserving, and financial modeling techniques.
- Strong understanding of healthcare economics, provider networks, and medical cost trends.
- Excellent analytical, problem-solving, and critical thinking skills.
- Superior communication and interpersonal skills, with the ability to explain complex actuarial concepts clearly and concisely.
- Proven ability to manage multiple projects and meet deadlines in a fast-paced environment.
- Experience with regulatory requirements and filings for health insurance products.
This advertiser has chosen not to accept applicants from your region.
2
Senior Health Insurance Claims Adjuster
902 Bilad Al Qadeem, Capital
BHD70000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client, a leading provider of comprehensive health insurance solutions, is seeking an experienced Senior Health Insurance Claims Adjuster to join their fully remote claims processing department. This vital role involves the meticulous investigation, evaluation, and resolution of complex health insurance claims, ensuring fair and timely settlements in accordance with policy terms and regulatory requirements. You will leverage your in-depth knowledge of medical procedures, billing codes, and insurance policies to adjudicate claims accurately and efficiently, providing exceptional service to policyholders.
Key Responsibilities:
Qualifications:
This is an excellent opportunity for a seasoned professional to advance their career in claims management within a supportive, fully remote structure. If you are dedicated to ensuring fair claim resolution and providing outstanding service, we encourage you to apply.
Key Responsibilities:
- Investigate and analyze complex health insurance claims, including medical records, bills, and policy details.
- Determine coverage eligibility and liability based on policy provisions and applicable laws and regulations.
- Communicate effectively with policyholders, healthcare providers, and other stakeholders to gather necessary information and explain claim decisions.
- Negotiate settlements with claimants and providers when necessary, ensuring fairness and adherence to company guidelines.
- Maintain accurate and detailed records of claim investigations, evaluations, and resolutions within the claims management system.
- Identify potential fraudulent claims and escalate them for further investigation according to established procedures.
- Ensure compliance with all state and federal regulations pertaining to health insurance claims processing.
- Stay informed about changes in medical terminology, coding (e.g., ICD-10, CPT), and healthcare policies.
- Provide guidance and mentorship to junior claims adjusters.
- Contribute to the improvement of claims processing procedures and best practices.
- Manage a caseload of complex claims, ensuring timely and accurate processing from initiation to closure.
- Uphold the highest standards of customer service and ethical conduct.
Qualifications:
- High school diploma or equivalent; Bachelor's degree in a related field is preferred.
- Minimum of 5 years of experience in health insurance claims adjusting, with a strong focus on complex cases.
- In-depth knowledge of medical terminology, healthcare billing codes (ICD-10, CPT, HCPCS), and various medical procedures.
- Thorough understanding of health insurance policies, coverage limitations, and legal/regulatory requirements.
- Proficiency in using claims management software and standard office applications.
- Excellent analytical, investigative, and problem-solving skills.
- Strong negotiation and communication skills, both written and verbal.
- Ability to work independently, manage time effectively, and meet strict deadlines in a remote work environment.
- High level of integrity and attention to detail.
- Relevant professional certifications (e.g., FLMI, AIC) are a plus.
This is an excellent opportunity for a seasoned professional to advance their career in claims management within a supportive, fully remote structure. If you are dedicated to ensuring fair claim resolution and providing outstanding service, we encourage you to apply.
This advertiser has chosen not to accept applicants from your region.
3
Senior Actuarial Analyst - Life & Health Insurance
00973 Ghuraifa, Capital
BHD105000 Annually
WhatJobs
Posted 16 days ago
Job Viewed
Job Description
Our client, a leading and reputable insurance provider, is seeking a highly skilled Senior Actuarial Analyst to join their dynamic team based in **Jidhafs, Capital, BH**. This role is integral to the pricing, reserving, and financial modeling for the company's life and health insurance products. You will be responsible for conducting complex actuarial analyses, developing predictive models, and providing strategic insights to support business decision-making. The ideal candidate possesses a strong analytical foundation, a thorough understanding of actuarial principles, and a proven ability to translate complex data into actionable business intelligence.
Responsibilities:
Qualifications:
This role offers an exciting opportunity to contribute to the financial health and strategic direction of a leading insurance company. Candidates must be able to work effectively in a hybrid model, with regular attendance at the **Jidhafs, Capital, BH** office. If you are a talented Actuarial Analyst seeking a challenging and rewarding career, we encourage you to apply.
Responsibilities:
- Perform actuarial valuations, including pricing new products and experience studies for existing life and health insurance products.
- Develop and maintain financial models for reserving, solvency, and profitability analysis.
- Analyze insurance risks and develop strategies to mitigate them.
- Conduct data analysis to identify trends, anomalies, and areas for improvement in product performance.
- Prepare actuarial reports and presentations for management, regulatory bodies, and external auditors.
- Collaborate with Underwriting, Claims, and Product Development teams to provide actuarial support.
- Stay current with industry trends, regulatory changes, and emerging actuarial techniques.
- Mentor junior actuarial staff and assist in their professional development.
- Ensure compliance with all relevant actuarial standards and professional codes of conduct.
- Utilize actuarial software and statistical tools for analysis and modeling.
Qualifications:
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field.
- Minimum of 5 years of actuarial experience, with a focus on life and health insurance products.
- Actuarial designation (e.g., FSA, ASA, or equivalent) in progress or completed is highly preferred.
- Strong knowledge of actuarial principles, including pricing, reserving, and financial modeling.
- Proficiency in actuarial modeling software (e.g., Prophet, GGY Axis) and database tools (e.g., SQL).
- Advanced skills in spreadsheet software (e.g., Excel) and programming languages (e.g., R, Python) are advantageous.
- Excellent analytical, quantitative, and problem-solving skills.
- Strong written and verbal communication skills, with the ability to explain complex actuarial concepts clearly.
- Ability to work effectively in a hybrid work environment, collaborating with team members both remotely and in the office.
- Detail-oriented with a commitment to accuracy and quality.
This role offers an exciting opportunity to contribute to the financial health and strategic direction of a leading insurance company. Candidates must be able to work effectively in a hybrid model, with regular attendance at the **Jidhafs, Capital, BH** office. If you are a talented Actuarial Analyst seeking a challenging and rewarding career, we encourage you to apply.
This advertiser has chosen not to accept applicants from your region.
4
Remote Senior Health Insurance Claims Adjuster
202 Muharraq, Muharraq
BHD80000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client is recruiting a highly skilled and experienced Senior Health Insurance Claims Adjuster for a fully remote position. In this critical role, you will manage complex health insurance claims from inception to settlement, ensuring compliance with policy provisions and regulatory requirements. You will be responsible for investigating claims, evaluating medical documentation, determining coverage eligibility, negotiating settlements, and providing clear explanations to policyholders and healthcare providers. As a remote adjuster, you will utilize advanced claims management software and communication platforms to conduct your work efficiently and effectively. The ideal candidate will possess a Bachelor's degree in a relevant field, a strong understanding of medical terminology and healthcare practices, and a minimum of 6 years of experience in health insurance claims adjusting. Prior experience handling complex or high-value claims is highly preferred. Excellent analytical, investigative, and negotiation skills are essential. The ability to interpret medical records, understand policy language, and make sound judgments based on available information is paramount. Strong organizational skills and the capacity to manage a caseload independently are critical for success in this remote role. Excellent written and verbal communication skills are required to interact professionally with policyholders, medical professionals, and legal representatives. Staying current with healthcare regulations and insurance best practices is a continuous requirement. This is an excellent opportunity for a seasoned professional to advance their career in the insurance sector with the benefits of a fully remote work environment.
This advertiser has chosen not to accept applicants from your region.
5
Senior Actuarial Analyst - Life & Health Insurance
305 Al Daih, Northern
BHD95000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client, a leading insurance group with a strong presence in the life and health sector, is seeking a highly analytical and driven Senior Actuarial Analyst. This is a fully remote position, enabling you to contribute your expertise from any location. You will play a crucial role in assessing and managing financial risks associated with insurance products. Your primary responsibilities will include developing and validating actuarial models for pricing, reserving, and financial forecasting. You will conduct thorough analyses of mortality, morbidity, and lapse data to inform product development and risk management strategies. This involves building and maintaining complex spreadsheets and databases, utilizing actuarial software, and performing data integrity checks. Collaboration with underwriting, product development, and finance teams will be essential to provide insights and support strategic decision-making. You will also be involved in regulatory compliance reporting and ensuring that all actuarial practices adhere to industry standards and governmental regulations. The ideal candidate will be an Associate or Fellow of a recognized actuarial society (e.g., SOA, CAS) or have made significant progress towards achieving this designation. A minimum of 5 years of experience in actuarial roles within the life and health insurance industry is required. You will possess strong quantitative, analytical, and problem-solving skills, with a proven ability to translate complex data into actionable business insights. Proficiency in actuarial modeling software (e.g., Prophet, GGY AXIS) and programming languages like SQL, Python, or R is highly desirable. Excellent communication skills are essential for presenting findings and recommendations to both technical and non-technical audiences. You should be a meticulous individual with a strong attention to detail and the ability to work independently in a remote setting. This is an exceptional opportunity to join a reputable organization, contribute to its financial stability, and advance your actuarial career in a challenging and rewarding environment. Join our client and help shape the future of insurance risk management.
This advertiser has chosen not to accept applicants from your region.
Be The First To Know
About the latest Health insurance Jobs in Bahrain !
6
Senior Actuarial Analyst, Life & Health Insurance
2020 Busaiteen, Muharraq
BHD120000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client, a leading innovator in the insurance industry, is seeking a highly analytical and detail-oriented Senior Actuarial Analyst to join their remote team. This role is integral to the development and pricing of life and health insurance products. You will be responsible for performing complex actuarial calculations, developing pricing models, and analyzing risk exposures to ensure the financial soundness and competitiveness of our product offerings. Key responsibilities include reserving, experience analysis, profitability studies, and the development of new actuarial methodologies. You will collaborate closely with underwriting, product development, and finance teams to provide strategic insights and support decision-making. The successful candidate will possess strong quantitative skills, proficiency in actuarial software and programming languages (e.g., SQL, Python, R), and a thorough understanding of insurance regulations. We are looking for a candidate who can effectively communicate complex technical information to non-actuarial stakeholders and contribute to the continuous improvement of our actuarial processes. The ability to work independently and manage multiple projects in a fast-paced, remote environment is crucial. Requirements include achieving Fellowship or Associate status with a recognized actuarial society (e.g., SOA, CAS) or being highly advanced in actuarial exams, combined with a minimum of 5 years of relevant actuarial experience in the life and health insurance sector. A Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field is required. This is an exceptional opportunity to advance your actuarial career within a forward-thinking company that values innovation and professional development, offering the flexibility of a fully remote work arrangement.
This advertiser has chosen not to accept applicants from your region.
7
Senior Actuarial Analyst - Life & Health Insurance
2402 Muharraq, Muharraq
BHD105000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client, a reputable and forward-thinking insurance provider, is actively recruiting a Senior Actuarial Analyst specializing in Life & Health Insurance for a fully remote position. This role is perfect for an experienced actuary seeking to leverage their analytical prowess and deep industry knowledge within a dynamic and collaborative virtual environment. You will play a crucial role in developing, pricing, and managing various life and health insurance products. Responsibilities include performing complex actuarial calculations, statistical modeling, and risk assessments to ensure the financial soundness and profitability of our insurance offerings. You will be involved in reserving, forecasting, and experience analysis, providing key insights to senior management. The ideal candidate will possess a strong understanding of actuarial principles, regulations governing the insurance industry, and proficiency in actuarial software and programming languages (e.g., Prophet, R, Python, SQL). A significant portion of your work will involve data analysis, trend identification, and the development of predictive models to inform business strategy and product development. You will also collaborate closely with underwriting, claims, product development, and finance teams, contributing actuarial expertise to cross-functional projects. The ability to clearly communicate complex actuarial findings to non-actuarial stakeholders is essential. This is a remote-first opportunity, meaning you will have the flexibility to work from your chosen location while contributing to a company that values innovation and employee well-being. We are looking for a detail-oriented individual with excellent problem-solving skills and a commitment to professional development, ideally with a strong track record of passing actuarial exams. If you are driven, analytical, and eager to make a significant impact in the insurance sector from a remote setting, we encourage you to apply and join our dedicated team.
This advertiser has chosen not to accept applicants from your region.
8
Senior Actuarial Analyst - Life & Health Insurance
59821 Zallaq, Southern
BHD95000 Annually
WhatJobs
Posted 19 days ago
Job Viewed
Job Description
Our client, a reputable and growing insurance provider, is seeking a highly analytical and dedicated Senior Actuarial Analyst to join their esteemed team on a fully remote basis. This role is critical in assessing and managing financial risks associated with life and health insurance products. You will be responsible for performing complex actuarial calculations, developing pricing models, assessing reserves, and contributing to the strategic financial planning of the organization. This is a fully remote position, allowing you to work from anywhere while collaborating with a talented team of professionals. The ideal candidate possesses a strong foundation in actuarial science, has passed a significant number of actuarial exams, and has proven experience in the life and health insurance domain. You will play a key role in ensuring the company's solvency, profitability, and compliance with regulatory requirements. Your analytical prowess and ability to translate complex data into actionable insights will be highly valued.
Key Responsibilities:
Qualifications:
Key Responsibilities:
- Develop, maintain, and refine pricing models for new and existing life and health insurance products.
- Perform valuation of policy liabilities and reserves, ensuring accuracy and compliance with accounting standards.
- Analyze historical claims data and mortality/morbidity trends to inform pricing and reserving decisions.
- Conduct profitability studies and scenario testing to assess the financial impact of various market conditions.
- Assist in the development of financial projections and long-term strategic plans.
- Collaborate with underwriting, product development, and finance teams to provide actuarial insights and support.
- Stay updated on industry regulations, new actuarial techniques, and best practices.
- Prepare reports and presentations for senior management and regulatory bodies.
- Mentor and guide junior actuarial staff.
- Contribute to the continuous improvement of actuarial systems and processes.
Qualifications:
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field.
- Successfully passed a significant number of actuarial exams (e.g., SOA/CAS exams) – progress towards Fellowship is highly desirable.
- Minimum of 5 years of experience in actuarial work, specifically within the life and/or health insurance industry.
- Proficiency in actuarial modeling software (e.g., Prophet, GGY AXIS) and statistical analysis tools.
- Strong understanding of life and health insurance products, regulations, and market dynamics.
- Excellent analytical, quantitative, and problem-solving skills.
- Proficiency in programming languages like Python or R is a plus.
- Strong communication and presentation skills, with the ability to explain complex technical concepts to non-technical audiences.
- Ability to work independently and manage multiple priorities in a remote work environment.
This advertiser has chosen not to accept applicants from your region.
9