Ninja 🥷🏽 نينجا

Senior Claim Specialist

Ninja 🥷🏽 نينجا  •  Riyadh, SA (Onsite)  •  11 days ago
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Job Description

We are looking for a Senior Claim Specialist to manage insurance claims processing, rejection analysis, and claims reconciliation across pharmacy operations. The role will work closely with pharmacists, TPAs, and insurance providers to ensure accurate claim submissions, compliance with Nphies and CCHI regulations, and timely financial recovery.
Key Responsibilities

  • Review and process insurance claims and e-claims submissions.
  • Analyze claim rejections and coordinate resubmissions with supporting documentation.
  • Ensure compliance with Nphies standards and CCHI regulations.
  • Monitor claim payments, reconciliations, and collection reports.
  • Prepare periodic reports on submissions, rejection trends, and recovery rates.
  • Coordinate with internal teams and insurance stakeholders to resolve claim issues.

Requirements

Requirements

  • Bachelor’s degree in Insurance or related field.
  • Minimum 2 years of experience in insurance claims processing.
  • Previous experience in a pharmacy chain is required.
  • Knowledge of Nphies platform, ICD-10 AM coding, and insurance regulations.
  • Strong analytical and communication skills.
Ninja 🥷🏽 نينجا

About Ninja 🥷🏽 نينجا

Born from big dreams in 2022, Riyadh, Ninja quickly leaped from concept to reality, fueled by the trust and loyalty of our vibrant community. From the start, we've been more than a delivery service; we're your go-to Ninjas for everything essential — grocery, bakery, coffee, beauty and hygiene products, and more, all delivered in stealth mode, in less than 30 minutes, thanks to our network of dark-stores and swift last-mile service. Through listening, learning, and relentlessly refining, today Ninja has become a symbol of efficiency and speed.

Craving a delivery service that matches your dynamic lifestyle, available at the swipe of a finger? Enter Ninja. With our app, a world of tens of thousands of products awaits your command, ready to be delivered with an unmatched speed. Whether it's a feast for tonight or the essentials for everyday life, we've got you covered, offering a seamless, hassle-free experience that is as fast as it is reliable.

Ninja's quest did not end in Riyadh. Our operations extended to cover all of Saudi Arabia (Jeddah, Eastern Province, Mecca, Madina, Kharj, Tabuk, Hail, Buraidah, and much more); and then beyond Saudi Arabia, we’re bringing Ninja to other GCC countries, like Qatar and Bahrain. This expansion isn't just growth; it's our pledge to provide everyone with Ninja's promise of speed, reliability, and convenience.

With Ninja, every delivery is an adventure, and every order is a mission accomplished. Join us on this exhilarating journey. Download the Ninja App! www.ananinja.com/app

Industry
Retail & Ecommerce
Company Size
1,001-5,000 employees
Headquarters
Riyadh, Saudi Arabia, SA
Year Founded
2022
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