31 Health Insurance jobs in Bahrain
Senior Health Insurance Underwriter
Posted 19 days ago
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Job Description
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.
Remote Health Insurance Claims Analyst
Posted 1 day ago
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Job Description
- 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.
Senior Actuarial Analyst - Health Insurance
Posted 4 days ago
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Job Description
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.
Senior Health Insurance Claims Adjuster
Posted 19 days ago
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Job Description
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.
Senior Actuarial Analyst - Life & Health Insurance
Posted 16 days ago
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Job Description
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.
Remote Senior Health Insurance Claims Adjuster
Posted 19 days ago
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Job Description
Senior Actuarial Analyst - Life & Health Insurance
Posted 19 days ago
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Job Description
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Senior Actuarial Analyst, Life & Health Insurance
Posted 19 days ago
Job Viewed
Job Description
Senior Actuarial Analyst - Life & Health Insurance
Posted 19 days ago
Job Viewed
Job Description
Senior Actuarial Analyst - Life & Health Insurance
Posted 19 days ago
Job Viewed
Job Description
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.