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EB Senior Associate

Besst Group > Jobs > Claims > EB Senior Associate

Job Description

Manage employee medical insurance servicing, including complex claims, policy administration, and renewals. Act as a key contact for clients and insurers, resolving escalations and ensuring accurate, timely service in line with policy terms and applicable requirements.

Key Responsibilities

  • Manage complex medical claims and follow up on escalated, delayed, or disputed cases.
  • Review policy terms, coverage limits, and exclusions to clarify claims-related issues.
  • Coordinate with insurers to resolve discrepancies and obtain clear explanations of claim decisions.
  • Oversee policy administration, including member additions, deletions, and coverage amendments.
  • Coordinate renewals, gather required information, and follow up on quotations and documentation.
  • Maintain strong client relationships and address policy and claims-related enquiries.
  • Monitor claims trends and outstanding cases, preparing reports for clients and management.
  • Ensure accurate records and adherence to applicable regulations and internal procedures.
  • Guide junior colleagues on complex cases and support improvements to servicing processes.

Requirements

  • Bachelor’s Degree in Insurance, Business Administration, Communications, or a related field.
  • 5+ years of experience in medical insurance or related fields.
  • Strong experience in policy management, renewals, and claims.
  • Good knowledge of medical insurance, claims processes, and applicable regulations.
  • Excellent command of English, French, and Arabic.
  • Strong client relationship management, coordination, and problem-solving skills.
  • Ability to handle complex cases, prioritize workloads, and support junior team members.

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