Compliance Officer - Medical Insurance
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Key skills for this role
About the Role
A medical insurance company in Abu Dhabi seeks a Compliance Officer to ensure regulatory compliance across underwriting, claims, and operations. The role requires 5-10 years of compliance experience in UAE health insurance and strong knowledge of DHA, DOH, MOHAP, and CBUAE regulations.
Key Skills for This Role
Responsibilities
- Ensure end to end regulatory compliance across medical insurance operations including underwriting, pricing, claims, operations, IT, data privacy, and fraud management
- Monitor, interpret, and implement UAE health insurance regulations, circulars, and tariff rules across all departments
- Maintain compliance obligations register and track regulatory updates from CBUAE, DHA, DOH, and MOHAP
- Act as the primary liaison with regulatory authorities and manage inspections, audits, and regulatory submissions
- Oversee compliance audits, documentation, and maintain audit readiness across all functions
- Establish and manage compliance oversight for TPAs and third party vendors including SLAs, KPIs, and audit rights
- Monitor and investigate Fraud, Waste & Abuse (FWA) cases in medical claims
- Ensure compliance with healthcare data privacy, confidentiality, and cross border data regulations
- Review SOPs, policies, and internal procedures to ensure regulatory alignment
- Manage escalated complaints, regulatory disputes, and enforcement responses
- Support regulatory reporting, license renewals, and compliance reporting to senior management
Requirements
- Bachelor’s degree in Business, Law, Healthcare Management, or related field
- Minimum 5–10 years of experience in compliance within a health insurance company in the UAE
- Strong knowledge of UAE insurance and healthcare regulations (DHA, DOH, MOHAP, CBUAE)
- Experience in regulatory audits, compliance monitoring, and reporting
- Preferred certifications: ICA (International Compliance Association) or CFE (Certified Fraud Examiner)
- Experience in medical insurance operations including claims and underwriting compliance
- Arabic language is preferred
Full Job Posting
Key Responsibilities
- Ensure end to end regulatory compliance across medical insurance operations including underwriting, pricing, claims, operations, IT, data privacy, and fraud management
- Monitor, interpret, and implement UAE health insurance regulations, circulars, and tariff rules across all departments
- Maintain compliance obligations register and track regulatory updates from CBUAE, DHA, DOH, and MOHAP
- Act as the primary liaison with regulatory authorities and manage inspections, audits, and regulatory submissions
- Oversee compliance audits, documentation, and maintain audit readiness across all functions
- Establish and manage compliance oversight for TPAs and third party vendors including SLAs, KPIs, and audit rights
- Monitor and investigate Fraud, Waste & Abuse (FWA) cases in medical claims
- Ensure compliance with healthcare data privacy, confidentiality, and cross border data regulations
- Review SOPs, policies, and internal procedures to ensure regulatory alignment
- Manage escalated complaints, regulatory disputes, and enforcement responses
- Support regulatory reporting, license renewals, and compliance reporting to senior management
Requirements
- Bachelor’s degree in Business, Law, Healthcare Management, or related field
- Minimum 5–10 years of experience in compliance within a health insurance company in the UAE
- Strong knowledge of UAE insurance and healthcare regulations (DHA, DOH, MOHAP, CBUAE)
- Experience in regulatory audits, compliance monitoring, and reporting
- Preferred certifications: ICA (International Compliance Association) or CFE (Certified Fraud Examiner)
- Experience in medical insurance operations including claims and underwriting compliance
- Arabic language is preferred
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