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Swan in a million

Assistance & Repatriation
1 Apr 2026 | Oliver Cuenca
Featured in ITIJ 303 | April 2026 Assistance & Repatriation Review
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Rhea Akiki headshot

Rhea Akiki, Managing Director of Swan International Assistance, speaks to Oliver Cuenca about how her company is working to develop its operations around the world

In 2026, what are the key global issues and challenges facing the cost containment side of the business?

Cost containment has never been an issue for us, as it has always been our core mission and long-term objective. Whenever we establish a partnership with a provider, our primary focus is to negotiate and secure the best possible pricing. This allows us to maintain competitive medical policy prices while ensuring our clients’ satisfaction and comfort through affordable insurance solutions.

These efforts extend beyond our local clients to our international partners, which is what makes us highly competitive in the market. In a time of rising medical costs globally, our structured cost containment approach remains one of our strongest pillars.

Are there any parts of your operations where a ‘non-digital’ approach is still better?

No-one can deny that technology and digital evolution play a vital role in improving efficiency and enhancing processes. However, the human touch remains at the heart of the care we provide.

As a company committed to humanitarian assistance locally and globally, our call centre will always maintain a human-centred approach. Our medical staff prioritise direct communication, empathy, and personalised support – especially in sensitive cases where compassion cannot be replaced by automation.

Money and protection

How is Swan looking to expand and strengthen its network of medical and support service providers? Are there any countries or regions that Swan is looking to expand or solidify its presence in?

Over the past few years, Swan has significantly strengthened its footprint across the MENA (Middle East and North Africa), the Gulf, and Africa, where we already operate with direct billing capabilities in key markets including Lebanon, Jordan, Iraq, Syria, Saudi Arabia, Bahrain, Kuwait, Oman, the UAE, Qatar, North and Sub-Saharan Africa, as well as Cyprus and Turkey.

In a time of rising medical costs globally, our structured cost containment approach remains one of our strongest pillars

Our priority today is not only expansion, but consolidation – ensuring that every provider within our network reflects our ethical standards, compliance framework, and operational excellence.

Strategically, we are currently focused on:

  • Completing and strengthening our network coverage across Africa
  • Restructuring and reinforcing our presence in Egypt through direct contractual relationships to ensure transparency and quality control
  • Expanding further into Asia, which represents a key growth corridor for international assistance
  • Strengthening our footprint in Europe
  • Continuing to grow in Australia and Canada, where we are already operational and actively developing both our travel portfolio and provider network.

This expansion is driven by the evolving needs of our international assistance and travel insurance partners, as well as our Swan Insurance Management Agency (SIMA) portfolio under the Group’s managing general underwriter (MGU) structure. Our objective remains clear: to offer controlled, reliable, and ethically aligned assistance solutions wherever our partners require us.

Magnifying glass looking at documents

As a company that operates across the Middle East and North Africa, what are the key cultural and religious considerations when handling complex cases (medical and funereal) in this region?

Operating across the MENA region requires strong cultural awareness, particularly in complex medical or funereal cases.

To ensure culturally sensitive and respectful support, we have offices in Bahrain, Jordan, Tunisia, and other countries, staffed with multicultural and multi-faith agents. All teams operate under a unified structure guided by shared values and standards.

Operating across the MENA region requires strong cultural awareness, particularly in complex medical or funereal cases

When arranging escorts or assigning medical agents, we take into account the patient’s cultural background, religion, and gender to ensure comfort, dignity, and trust throughout the care process.

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People talking in a meeting

In an increasingly digital world, how is Swan enhancing its operations through new technology?

At Swan Group, digital innovation is built internally. Over the past 15 years, we have developed our own software development company, Swan Pro, which created our internal system, Cygnet. This platform connects our offices, medical and travel clients, MGU operations, and healthcare providers, ensuring faster, more transparent, and reliable service delivery.

In addition, we developed our mobile application and teleconsultation platform Sanad, meaning ‘support’ or ‘backing’ in Arabic. These solutions enhance accessibility, communication, and ensure a smooth and efficient client experience.

ITIJ 303 April 2026 A&R Review magazine cover

April 2026
 Issue

In the first Assistance & Repatriation Review of 2026, we explore the cultural, legal, and logistical intricacies of funeral repatriation in, around, and out of the Middle East. We also consider how pre-deployment medical assessments can save lives and sea voyages. The burgeoning demand for telehealth among students is covered in our third feature, plus we look at how companies are delivering services that meet that need.

Read full issue
Assistance & Repatriation
1 Apr 2026
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Oliver Cuenca

Oliver Cuenca is a Junior Editor for Voyageur Group, joining in 2021. He writes for both ITIJ and AirMed&Rescue, covering a range of topics including international travel and health insurance, medical assistance provision and air medical transportation. He also serves as Title Editor of the Assistance & Repatriation Reviews. Oliver holds an MA in Magazine Journalism from Cardiff University, as well as a BA in English with Creative Writing from Falmouth University.

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