Claim Investigator

PT FWD Insurance Indonesia (“FWD Insurance”), a joint-venture insurance company and a part of FWD Group, previously known as PT Commonwealth Life, has successfully merged with PT FWD Life Indonesia (“FWD Life”) as of 1 December 2020 and will be known as FWD Insurance. The merger of FWD Life and FWD Insurance has led to a more comprehensive range of...

**Integrity Indonesia** is a foreign investment company that has operated for 22 years in Indonesia, and with established affiliates in Malaysia and Thailand. Our business is to provide services related to the Prevention, Detection, and Investigation of risk. As a rapidly expanding company with a robust business plan, Integrity Indonesia is looking for...

Send the claim to direct Supervisor (Manager) to be checked and approved if the authority over staff level Check and approve claims as AssMan's authority limit which delivered from their staff Training and Coaching the team Collaborate with other team to manage complain by responding and follow up every pending case ( KAM, CS, CFBA, Provider) Work...

We are currently building the #1 Insurtech in Southeast Asia that helps people to reach insurance in the most efficient way. Therefore we need talent with great potential like you to join this growing organization, learning the right skills and also building great teams to reach our goals. **Responsibilities** - Providing advice and analyzing on a claim...

Document verification, analyze and entry the claims if the TAT over the target Direct approval as claim processor’s authority limit Send the claim to direct Supervisor (AssMan) to be checked and approved if the authority over staff level Make revision of the claim which have been corrected from their Supervisor Checked and approved claims as SPV's...

Analyze hospitalization and non-hospitalization claims based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed.Calculate hospitalization claims based on the provision policy and benefit plan of the insured.Improve product and system knowledge.Conduct proper claim process analysis based on the...

**Integrity Indonesia** is a foreign investment company that has operated for 22 years in Indonesia. Our business is to provide services related to the prevention, detection, and investigation of fraud. Our services include employment background screening, whistleblowing systems, mystery shopping services, due diligence, process serving, research & market...

Company Description Our team hailed from Silicon Valley Tech companies such as Google, Microsoft, LinkedIn and Sofi as well as Indonesian startups such as Doku, Touchten. We have graduates from well known universities such as Universitas Indonesia, ITB, Stanford, University of Washington, Cornell and many others. We are building a company with the same...

Role & Responsibility: - Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, abuse committed by external & Internal against our company - Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations - Prepare and coordinate...

Job SummaryPengiklan Anonim is hiring a Hospital Claim Specialist to analyze hospitalization and non-hospitalization claims based on policy provisions and medical necessity.Key Responsibilities:Analyze claims data to ensure accuracy and compliance with policy guidelines.Investigate claims discrepancies and communicate with providers to resolve...

Job DescriptionWe are seeking a Medical Claims Examiner to join our team at Pengiklan Anonim. In this role, you will be responsible for analyzing hospitalization and non-hospitalization claims based on policy provisions and medical necessity.Key Responsibilities:Analyze claims data to ensure accuracy and compliance with policy guidelines.Investigate claims...

PT FWD Insurance Indonesia (“FWD Insurance”), a joint-venture insurance company and a part of FWD Group, previously known as PT Commonwealth Life, has successfully merged with PT FWD Life Indonesia (“FWD Life”) as of 1 December 2020 and will be known as FWD Insurance. The merger of FWD Life and FWD Insurance has led to a more comprehensive range of...

FIND YOUR 'BETTER' AT AIA - We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us._ - We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can...

Head of Claims & Provider RelationsHead of Claims & Provider RelationsApply locations Jakarta Selatan, Jakarta RayaTime type: Full timePosted on: Posted YesterdayJob requisition id: JR00109107You are as unique as your background, experience, and point of view. Here, you'll be encouraged, empowered, and challenged to be your best self. You'll work with...

Job Summary - Investigate, evaluate and conclude low complexity personal or commercial line claims by following established protocols to ensure that claims are handled in the most effective, efficient way while delivering a customer-centric claims service. - Job Qualifications - Min. Bachelor's degree (having an Engineering background is a plus) - Min. 3...

PT FWD Insurance Indonesia (“FWD Insurance”), a joint-venture insurance company and a part of FWD Group, previously known as PT Commonwealth Life, has successfully merged with PT FWD Life Indonesia (“FWD Life”) as of 1 December 2020 and will be known as FWD Insurance. The merger of FWD Life and FWD Insurance has led to a more comprehensive range of...

Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...

**Company Description** Our team hailed from Silicon Valley Tech companies such as Google, Microsoft, LinkedIn and Sofi as well as Indonesian startups such as Doku, Touchten. We have graduates from well known universities such as Universitas Indonesia, ITB, Stanford, University of Washington, Cornell and many others. We are building a company with the same...

**Requirements**: - Bachelor's degree from reputable university, preferably major in Accounting / Mathematics / Engineering. - Minimum 1-3 years of fraud investigation related working experience. Fresh graduate are welcome to apply - Proven working experience in related field - Strong interpersonal and communication skills including the ability to interact...

**Integrity Indonesia** is a foreign investment company that has operated for 21 years in Indonesia. Our business is to provide services related to the prevention, detection, and investigation of fraud. Our services include employment background screening, whistleblowing systems, mystery shopping services, due diligence, process serving, research & market...