Eligibility Representative

About the Role

We are looking to extend our KSA operation team. This role supports and delivers straightforward administrative and other basic business services in Eligibility.

• Implements and maintains eligibility for benefits.
• Implements updates and maintains automated direct connect and/or manual eligibility data.
• Interacts with internal partners and/or external clients/vendors.
• Generates reports to identify and resolve discrepancies.
• Identifies process improvement opportunities for own cases.
• May negotiate and resolve eligibility with clients.
• May provide technical support for the electronic processing of eligibility.
• Ensures customer data is installed accurately and timely.
• May work with client format and internal systems to resolve errors.
• May interact with systems to resolve technical issues.
• General knowledge of manual and automated eligibility.
• Familiar with reporting tools.
• Technical understanding of systems.
• Issues tend to be routine in nature.
• Good knowledge and understanding of Eligibility and business operating processes and procedures.
• Works to clearly defined procedures under close supervision.

• Bachelor’s or Diploma degree in insurance field or similar.
• Minimum of 1 year experience (fresh graduate with internship considered).
• Familiar with reporting tools.
• Oral communication skills in both Arabic and English.
• Proven ability to work independently as well as a productive member of a team.
• Exceptional organization and time‑management focus.
• Technical understanding of systems.
• Good knowledge and understanding of Eligibility and business operating procedures.
• Works to clearly defined procedures under close supervision.