First
Local Company Specializing in Health Insurance Claims Management Established in
Oman
Muscat,
27 Jul (ONA) — The first company specializing in health insurance claims
management “Green Line Health Insurance Claims Management Company” was
established today.
It
is the first Omani company licensed for this activity, supported by a national
vision consistent with the directives of Oman Vision 2040, aiming to provide
services with global standards using the latest technologies, and to enhance
and empower national competencies to undertake a key role in this new field.
The
move comes amid accelerating growth in the health insurance sector and the
increasing need for smart solutions to enhance the efficiency of medical
services.
Faisal
Hamad Al Rashdi, Co-founder and CEO of Green Line Insurance Services, stated
that, due to his long experience in the health insurance sector, he observed
the operational challenges facing this sector, whether at the level of
insurance companies, healthcare providers, or even policyholders.
Given
a clear gap in claims management, Al Rashdi decided to establish this company,
especially with the Financial Services Authority (FSA) announcing the opening
for applications to practice health insurance claims management as an independent
and regulated activity. This
presented a national opportunity to establish a specialized local company that
contributes to building this vital sector.
He
explained that the market lacked a specialized company in health insurance
claims management, with a greater reliance on foreign companies managing
operations from outside Oman. This affected the speed and quality of services,
in addition to the possibility of health data – which is highly sensitive –
being leaked through external systems. The Financial Services Authority had
taken the initiative to issue clear legislation to ensure the protection of
this data within Oman.
He
noted that the company represents a reliable source managed by national
competencies, meeting market needs through its proximity to clients, which
directly reflects on work quality and the speed of transaction completion.
Regarding
the market’s reception of this project, Faisal Al Rashdi affirmed that it is
natural for any sector to face some challenges when entering a phase of change,
especially when there are long-standing working relationships between the
market and external parties that have managed this activity for decades.
However, he stressed the necessity of redoubling efforts to build trust and
confirm readiness to provide high-standard services that meet the needs and
aspirations of target groups, in addition to full compliance with national
regulations.
As
for the project’s nature, he mentioned that the company offers a comprehensive
package of services in health insurance claims management that meets
international standards. These include accurate and prompt medical claims
management, medical and administrative verification using smart systems to
detect duplication and errors, as a step towards time management. It also
covers medical network management, from contracting with hospitals and clinics
to ensuring the quality of service provided to policyholders, in addition to
data analysis and smart reporting that helps insurance companies make decisions
based on accurate data.
He
emphasized that the company relies heavily on digital solutions and modern
technologies, including artificial intelligence, for faster data analysis and
the automation of routine operations using robotic process automation (RPA),
which reduces manual errors and saves time and effort. Furthermore, it is fully
integrated with the national platform developed by the Financial Services
Authority (“Dhamani” platform), which has been approved for fully electronic
operations.
He
clarified that the company handles data confidentially, storing client data on
company-owned servers only, without relying on external servers, to ensure
complete control over information security. It applies best cybersecurity
standards, such as advanced data encryption during transmission and storage,
firewalls, and intrusion detection and prevention systems. Additionally, access
permissions are granted on a limited and well-considered basis according to the
employees’ job roles, along with adherence to all local and international laws
and regulations related to data protection and periodic reviews to ensure
continuous compliance.
—Ends/AG
