Total Care SaudiTotal Care SaudiBetaThird Party Administrators
No #1 TPA in the Kingdom of Saudi Arabia

Pioneering healthcare risk & insurance management in KSA! Tailored to the Saudi market.

Dedication to personalized claims services, medical cost control, and technology-driven operations tailored to the Saudi market.

  • Commitment
  • Transparency
  • Stewardship
  • Partnerships

Claims operations overview

Updated in real time

Systems Operational

3,842

Claims processed today

3m 12s

Avg. handle time

92%

First-call resolution

4.8/5

Member satisfaction

112 agents online now

Serving members across 6 time zones

Trusted by leading insurers and employers

Al Rajhi TakafulBupa ArabiaMedGulfTawuniyaAXA Gulf
What We Do

Healthcare risk and insurance management solutions

We combine operational discipline, technology, and experienced teams to support claims, member services, provider coordination, and cost management across the care journey.

Claims Processing

End-to-end claims administration covering intake, verification, review, and payment with a strong focus on accuracy and turnaround time.

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Call Center Support

Responsive support for eligibility, claims status, provider queries, and member assistance across multiple channels and time zones.

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Provider Network Management

Credentialing, contracting, and performance monitoring across hospitals, clinics, and specialist networks.

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Utilization Review

Medical necessity and pre-authorization review designed to improve cost efficiency without compromising care quality.

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Reporting & Analytics

Actionable insights on claims performance, utilization, and operational outcomes for better decision-making.

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Digital Member Access

Member service channels that help insured parties access information, track claims, and submit requirements more easily.

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2.4M+

Claims processed annually

98%

Client retention rate

24/7

Call center availability

15+

Years serving insurers

How It Works

Designed around clarity, control, and service continuity

Every claim follows a disciplined and auditable path, balancing member experience, cost efficiency, and regulatory compliance.

01

Submit & Verify

Claims are received and reviewed for completeness, eligibility, and coverage before moving forward.

02

Review & Adjudicate

Our teams assess medical and policy requirements to ensure fair, accurate decisions aligned with plan rules.

03

Support & Resolve

Members, providers, and brokers receive timely guidance and updates throughout the process.

04

Pay & Report

Approved claims are settled efficiently, with reporting and accountability built into each stage.

Client Stories

Trusted partners across the healthcare and insurance ecosystem

“Our partnership is built on clarity, responsiveness, and service continuity. The team understands both operational needs and member experience.”
OL

Operational Leadership

Insurance Partner

“We value the transparency in reporting and the practical support delivered by the team across claims and service operations.”
BD

Benefits Director

Employer Client

“The combination of process discipline and active member support makes a real difference in day-to-day performance.”
HNP

Healthcare Network Partner

Provider Group

Your business goals are our top priority.

Talk to our team about claims administration, call center support, provider coordination, and partnership opportunities tailored to your organization.