Claim Health Provider

**OVERALL PURPOSE OF JOB** Responsible for providing our customers with a peerless service experience and claims journey by assessing and processing claims accurately and consistently. With a detailed understanding of the claims lifecycle from receipt to closure, the postholder will provide best-in-class customer service through high-quality correspondence...

Claim Analyst Staff Qualifications: Male/ Female Minimum 1-year experience as a Claim Analyst in Insurance/ TPA company Excellent knowledge health insurance policy, health claims procedures and terminology Excellent knowledge on medical terminologies Strong analytical and inter-personal skill Good problem-solving skill Proficient in Ms....

Head of Claim (Great Eastern Life Indonesia)Job Description:Monitor and ensure claim process within agreed TAT, policies & procedures, and company regulations.Make decision on claim payment within authority limit.Ensure all reports related to claims, including analysis, are submitted within agreed deadlines and claim procedures.Check claim guidelines and...

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...

Company: AHI agilon health, inc. **Location**: Remote - HI Job Title: Customer Service Coordinator **Job Description**: Position Summary: - Based remotely in Hawaii, the Customer Service Representative communicates with a diverse constituency of internal and external customers and responds to individual questions and concerns specific to organizational...

Company: AHI agilon health, inc. **Location**: Remote - HI Job Title: Customer Service Representative **Job Description**: Position Summary: The Customer Service Representative communicates with a diverse constituency of internal and external customers and responds to individual questions and concerns specific to organizational determinations, claims,...

**About the job Head of Operation (Health Tech)**: We are recruiting on behalf of one of the most prominent Health Tech companies looking to hire a Head of Operation who will be leading the Operation of its Insurance Division. **JOB SUMMARY**: - Develops annual planning and strategy objectives to maximize the effectiveness of the...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

To sustain our growth in Indonesia, we are currently looking for All-Round Claims and LOG Officer. You will report directly to the Regional Claims Manager. You will have the possibility and range to have an impact in a fast-moving setting. Your responsibilities will include: - Understand client needs, eligibility, and coverage to provide insightful...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

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...

To sustain our growth in Indonesia, we are currently looking for Claims Specialist and Customer Service Officer. **A previous experience in Insurance is a MUST** You will report directly to the Regional Claims Manager. You will have the possibility and range to have an impact in a fast-moving setting. Your responsibilities will include: - Understand...

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...

**Full Job Description** We are looking for a detail-oriented claims reconciliation specialist to perform above and beyond data entry, and payment posting, verify financial and payer information, as well as patient demographics and research rejections, identify documentation errors, and coordinate correction. Likewise has a strong sense of urgency leading to...

Specifically for handling Health and Life Claims Process new insurance claims notifications Collect accurate information and documents to proceed with a claim Monitor the progress of a claim Ensure and Prepare fair settlement of a valid claim in accordance with company and Insurance guidelines Handle any complaints associated with a claim Minimum...

Analyze insurance / Corporates claims to ensure accuracy, completeness, and adherence to policy terms and conditions - Verify all supporting documentation submitted with claims, ensuring it meets the required standards and policies - Utilize analytical tools and methodologies to detect potentially fraudulent activities or discrepancies in claim submissions -...

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...

Our client is a global mining and metallurgy company. Due to business expansion from a joint venture project, we are currently partnering them to look for a Health & Safety Manager to develop and execute health and safety plans. This role will be based at Halmahera Island in Indonesia. **Responsibilities** - Develop and Implement health and safety strategy...

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...

Job Requirements Job Summary Responsible in managing day to day operational process claims from in-processing & out-processing claims by ensuring those process runs smoothly by following the policy/procedures/guideline and delivered within the expected turn-around-time. Responsible in monitoring the overall team performance, coaching, and ensure all the...