Current Openings

Job Family: Internal Audit
Location: Muscat – Head Office
Number of Vacancies: 1
Application Deadline: 28^th September 2025

Job Purpose:

We are looking for an experienced Internal Audit Manager to manage and oversee the internal Audit function, ensuring that internal controls, governance, and risk management frameworks across the company are effective and robust. The role will provide independent assurance to the Audit Committee and the Board of Directors on the adequacy of financial reporting, protection of assets, compliance with Financial Services Authority (FSA) regulations, and operational efficiency. This position plays a critical role in protecting shareholder interests, enhancing transparency, and ensuring that the company upholds the highest standards of corporate governance required of a publicly listed company.

Key Responsibilities:

• Develop and execute the annual risk-based internal audit plan, aligned with organizational objectives and approved by the Audit Committee.
• Lead and manage internal audit assignments across financial, operational, compliance, and IT areas.
• Assess the effectiveness of risk management, internal controls, and governance frameworks.
• Review IT systems, information security, and business continuity arrangements.
• Ensure compliance with company policies, FSA regulations, and governance requirements for listed companies.
• Prepare and present comprehensive audit reports with findings, risks, and recommendations to the Audit Committee and Board.
• Monitor and follow up on the implementation of corrective actions by management.
• Liaise with external auditors, regulators, and the Audit Committee on audit matters.
• Safeguard company assets by reviewing controls to prevent misuse, fraud, or inefficiency.
• Carry out any additional responsibilities as directed by the Audit Committee or the Board.

Educational Qualifications:

• Bachelor’s degree in accounting, Finance, Auditing, or a related field -Master’s degree is an advantage.
• Mandatory professional certification: ACCA, CPA, or CA.
• Additional certifications such as CIA, CISA or ACII are an advantage.

Experience:

• Minimum of 7 years of relevant audit experience, including at least 5 years in a senior role, and at least 5 years gained after obtaining a professional qualification.
• Proven experience in internal audit within the insurance industry or a financial services company, publicly listed company in Oman or the GCC.
• Demonstrated ability to manage end-to-end audit processes, including planning, execution, reporting, and stakeholder engagement.

Key Skills:

• Expertise in risk assessment, audit planning, financial analysis, and regulatory compliance.
• Strong knowledge of insurance operations or financial sector companies and FSA regulatory requirements.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication, report-writing, and presentation abilities.
• High integrity, independence, and ability to handle sensitive information with confidentiality.
• Leadership and people management skills to mentor build and guide the audit team.

Job Family: Medical Claims
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes on Sunday, 21^st September 2025
No Vacancies: 2

Job Purpose:

We are looking for a qualified Executive to join our medical pre-approval team. The role involves evaluating pre-approval requests for medical procedures and treatments, ensuring they meet clinical standards and adhere to the table of benefits and health protocols. The ideal candidate will collaborate with healthcare providers and internal teams to ensure decisions are medically justified, efficient, and customer focused.

Key Responsibilities:

• Review and adjudicate medical pre-approval requests and assess clinical necessity
• Analyze clinical documents and patient history to determine the appropriateness of proposed treatments
• Communicate with healthcare providers to obtain clarification and additional documentation when required
• Provide clinical recommendations based on established medical guidelines and best practices
• Ensure adherence to insurance regulations, internal protocols, and medical table of benefits.
• Analyze and evaluate preapproval trends from medical providers and detect abnormalities.
• Ensure strict adherence to regulatory requirements and company pre-approval policies
• Resolve disputes related to medical pre-approvals in a fair, evidence-based manner

Educational Qualifications:

• Bachelor’s degree in health science, Pharmacy, Physiotherapy, Nursing, or Dentistry

Experience:

• Minimum 2 years of relevant experience in medical related field or preapproval function.

Key Skills:

• Solid understanding of medical treatments, procedures, and terminology.
• Skilled in critically assessing medical documentation to support informed decision-making.
• Excellent bilingual verbal and written communication skills for effective collaboration with healthcare providers and team members.
• High accuracy in evaluating claims and ensuring adherence to policies.
• Proficient in managing complex or ambiguous cases using sound clinical judgment.

Job Family: Medical Claims
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes on Sunday, 21^st September 2025
No Vacancies: 1

Job Purpose:

We are looking for a qualified Officer to join our medical reimbursement team. The role involves reviewing and processing reimbursement claims for medical services, ensuring they are clinically justified, supported by valid documentation, and compliant with the table of benefits and health protocols. The ideal candidate will collaborate with brokers, clients, and internal teams to ensure timely, accurate, and customer-focused decisions.

Key Responsibilities:

• Review and process medical reimbursement claims for accuracy, eligibility, and clinical validity.
• Verify supporting documents (invoices, prescriptions, reports) to ensure compliance with policy and benefits.
• Ensure adherence to insurance regulations, internal protocols, and medical guidelines.
• Coordinate with brokers, clients and policyholders to clarify or obtain required documentation.
• Identify and escalate fraudulent, abnormal, or non-compliant cases.
• Provide recommendations for claim approvals or rejections based on evidence.
• Work with Finance and Claims teams to ensure timely settlement of approved claims.
• Handle claim disputes fairly and in line with company policies.

Educational Qualifications:

Bachelor’s degree in Allopathic medicine, health science, Pharmacy, Physiotherapy, Nursing, Dentistry, or a related medical/paramedical field.

Experience:

Minimum 2 years of relevant experience in the medical field, insurance claims, or reimbursement function.

Key Skills:

• Solid knowledge of medical treatments and terminology.
• Strong ability to review reimbursement documents and medical records.
• Clear communication skills for dealing with brokers, clients and policyholders.
• High accuracy and attention to detail in claim evaluation.
• Sound judgment in handling complex cases.
• Ability to analyze trends and detect claim irregularities.

Job Family: Medical Claims
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes on Sunday, 21^st September 2025
No Vacancies: 2

Job Purpose:

We are seeking an experienced Senior Officer – Direct Billing to join our medical insurance team. The role is responsible for managing and processing direct billing claims, ensuring compliance with policy terms, medical necessity, and regulatory requirements. The ideal candidate will have strong technical knowledge in the field of medical insurance, claims adjudication and medical coding, while contributing to efficient claims settlement and enhancing providers satisfaction.

Key Responsibilities:

• Process and review direct billing claims from the network providers for accuracy, medical necessity, and policy compliance.
• Validate coding (ICD, CPT, HCPCS) and provider submissions.
• Liaise with providers to resolve discrepancies and gather required information.
• Identify claim irregularities, fraud, or overutilization and escalate as needed.
• Ensure compliance with internal policies, regulations, and benefits.
• Support audits, analyze billing trends, and prepare reports.
• Coordinate with Finance and teams to ensure timely settlements within TAT.
• Mentor junior staff and contribute to process improvements.

Educational Qualifications:

Bachelor’s degree in Allopathic medicine, health science, Pharmacy, Physiotherapy, Nursing, Dentistry, or a related medical/paramedical field.

Experience:

Minimum 3–5 years of experience in medical claims processing of direct billing provider claims.

Key Skills:

• Strong knowledge of medical treatments, billing, and terminology.
• Skilled in reviewing claims and validating coding accuracy.
• Clear communication and negotiation with providers and stakeholders.
• High attention to detail in claims adjudication.
• Ability to detect trends, irregularities, and fraud.
• Leadership skills to mentor and guide junior staff.

Job Family: Medical Claims
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes on Sunday, 21^st September 2025
No Vacancies: 2
Nationality: Open to Omani nationals only

Job Purpose:

We are looking for an Officer – Direct Billing to join our medical insurance team. The role is responsible for reviewing and processing direct billing claims, ensuring compliance with policy terms, medical necessity, and regulatory standards. The ideal candidate will have strong technical knowledge in the field of medical insurance, claims adjudication and medical coding, while contributing to efficient claims settlement and enhance providers satisfaction.The ideal candidate will have sound knowledge of claims adjudication and medical coding, supporting accurate and timely claim settlements.

Key Responsibilities:

• Review and process direct billing claims for accuracy, necessity, and policy compliance.
• Verify medical coding (ICD, CPT, HCPCS) and provider submissions.
• Coordinate with providers to clarify discrepancies or missing documents.
• Identify claim irregularities and escalate potential fraud or misuse.
• Ensure adherence to company policies, benefits table, and regulatory standards.
• Support audits and reporting to track claim trends and anomalies.
• Collaborate with Finance and internal teams for timely settlements of payments to the providers within the agreed TAT.

Educational Qualifications:

Bachelor’s degree in Allopathic medicine, health science, Pharmacy, Physiotherapy, Nursing, Dentistry, or a related medical/paramedical field.

Experience:

• Minimum 2 years of experience in medical claims processing, direct billing, or health insurance.

Key Skills:

• Knowledge of medical treatments, billing procedures, and terminology.
• Ability to review claims and validate coding accuracy.
• Strong communication skills for provider and team coordination.
• Attention to detail and accuracy in claims adjudication.
• Analytical skills to detect irregularities or misuse in claims

Job Family: Medical Claims
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes on Sunday, 21^st September 2025
No Vacancies: 3
Nationality: Open to Omani nationals only

Job Purpose:

We are looking for an Executive – Direct Billing to support our medical insurance team. The role is responsible for assisting in the processing of direct billing claims, ensuring accuracy of documentation, and compliance with policy terms and procedures. This entry-level role will provide exposure to medical claims adjudication and coding, while supporting the team in delivering timely and accurate claim settlements.

Key Responsibilities:

• Assist in reviewing and processing direct billing claims.
• Check invoices, prescriptions, and medical reports for accuracy and completeness.
• Verify medical codes (ICD, CPT, HCPCS) under supervision.
• Coordinate with providers to collect missing documents or clarifications.
• Escalate irregularities or complex cases to senior staff.
• Support audits, reporting, and other administrative tasks within the claims team.

Educational Qualifications:

Bachelor’s degree in Allopathic medicine, health science, Pharmacy, Physiotherapy, Nursing, Dentistry, or a related medical/paramedical field.

Experience:

Fresh graduate or up to 1 year of experience in medical insurance, claims processing, or healthcare.

Key Skills:

• Basic understanding of medical treatments and terminology.
• Strong attention to detail and accuracy in documentation.
• Good communication skills for coordinating with providers and team members.
• Eagerness to learn and develop knowledge in medical claims adjudication and coding. Ability to work effectively under supervision.

Job Family: Customer service – Medical
Location: Muscat, OQIC Head Office
Application Deadline: Submission closes by Sunday, 21^st September 2025
No of Vacancies: 2
Nationality: Open to Omani nationals only

Job Purpose:

We are seeking a dedicated and customer-focused Call Centre Executive to join our Medical Call Centre team in shift basis. The role involves handling inbound inquiries from insured members and medical providers, offering prompt and accurate support related to medical insurance coverage, pharmacy approvals, claim queries, and mobile app assistance. This position is well-suited for candidates with a healthcare background who are passionate about client service and efficient communication.

Key Responsibilities:

• Handle end-to-end customer medical insurance inquiries, covering pre-approvals, reimbursements, pharmacy services, network coverage, and benefits.
• Collaborate with medical providers to resolve their questions and concerns
• Provide clear medical justifications and explanations to customers regarding partially approved or rejected medical insurance cases, ensuring transparency and understanding.
• Ensure service metrics are met, including average handling time and disposition targets
• Coordinate with internal teams (Pre-Approval, Reimbursement, Direct Billing) to resolve customer issues
• Handle calls with empathy and professionalism

Educational Qualifications:

• Bachelor’s degree in medicine, health science, Pharmacy, Physiotherapy, Nursing, Dentistry, or a related medical/paramedical field.

Experience:

• 1–3 years of experience in a medical insurance call centre or customer service role
• Sound knowledge of medical insurance processes and terminology
• Familiarity with pre-approval and reimbursement workflows
• Proficiency in MS Office applications

Key Skills:

• Strong verbal and written communication skills in both Arabic & English
• Ability to understand and respond to customer needs with empathy
• Problem-solving mindset with attention to detail
• Team collaboration and coordination
• Flexibility to work in shifts and adapt to policy and procedural changes
• Efficiency in managing high call volumes and service quality targets