WALAA AL WARTHAN
Summary
Insurance specialist with 5+ years of experience in medical insurance operations, claims management, and provider coordination. Proven ability to resolve complex insurance cases, optimize policy utilization, and enhance employee experience while maintaining compliance and cost efficiency.
Overview
8
8
years of professional experience
1
1
Certification
Work history
INSURANCE SPECIALIST | HSS DEPARTMENT
Rezayat Group - HO
Khobar, Eastern Province, SA
2024.08 - 2026.05
- Handled 500-700 cases per quarter while maintaining service quality and response efficiency
- Coordinating with brokers and insurers to resolve complex cases and minimize delays
- Analyze insurance coverage options and support decision-making to optimize benefits and control costs
- Advise employees on policy benefits, exclusions, and claims procedures to improve utilization and awareness
- Contribute to process improvements that enhance efficiency and reduce unnecessary claims
- Ensure compliance with internal policies and regulatory requirements
- Support health campaigns and awareness initiatives across organization
SENIOR OFFICER - HEALTH OPERATION, DELEGATE
Tawuniya
Jubail IC
2024.05 - 2024.08
OFFICER - HEALTH OPERATION, HOSPITAL DELEGATE
Tawuniya
Jubail IC
2021.05 - 2024.05
- Acted as the main point of contact between patients, hospitals, and insurance provider
- Managed approvals and escalated cases to ensure service continuity
- Improved turnaround time by effectively following up on pending cases
- Maintained strong relationships with healthcare providers and internal stakeholders
APPROVAL CLERK - MARKETING DEPT
MOUWASAT HOSPITAL
Jubail IC
2020.06 - 2021.03
- Processed insurance approvals and ensured accuracy of documentation
- Coordinated with medical providers to facilitate timely approvals
SECRETARY - SABIC CENTER DEPT
MOUWASAT HOSPITAL
Jubail IC
2019.09 - 2020.06
- Provided administrative and operational support
- Managed scheduling, documentation, and internal communication
HR BUSINESS PARTNER - SHARED SERVICES
SABIC | COOP TRAINING
Jubail IC
2018.09 - 2019.01
- Supported HR operation and employee engagement initiatives
Education
English Language Bachelor Degree - English Language
Jubail University College
Jubail, Saudi ArabiaSkills
- Insurance Operation & Claims Handling
- Provider & Broker Coordination
- Communication & Stakeholder Management
- Microsoft Office
- Compliance management
Languages
English
Fluent
Arabic
Native
VOLUNTARY
- Organized and participated in SABIC's annual HR Day Roadshow, Jubail.
- Organized and participated in SABIC's first Pioneer's Gathering Event, Jubail.
Certification
- Cyber Security 2024
- Risk Management 2023
- Fraud Prevention: Global Edition 2023
- IFCE Certificate from Financial Academy SAMA 2021
- EXCELLENCE PROGRAM FROM AWASEER TRAINING & CONSULTING 2019
- Business Management and Strategy: HR 2018
- Human Resources Development 2018
- Defining Alternative Solutions to a Problem as an HR 2018
Timeline
INSURANCE SPECIALIST | HSS DEPARTMENT
Rezayat Group - HO
2024.08 - 2026.05
SENIOR OFFICER - HEALTH OPERATION, DELEGATE
Tawuniya
2024.05 - 2024.08
OFFICER - HEALTH OPERATION, HOSPITAL DELEGATE
Tawuniya
2021.05 - 2024.05
APPROVAL CLERK - MARKETING DEPT
MOUWASAT HOSPITAL
2020.06 - 2021.03
SECRETARY - SABIC CENTER DEPT
MOUWASAT HOSPITAL
2019.09 - 2020.06
HR BUSINESS PARTNER - SHARED SERVICES
SABIC | COOP TRAINING
2018.09 - 2019.01
English Language Bachelor Degree - English Language
Jubail University College