Claim & Client Relation Manager

3 months ago


Jakarta, Indonesia FUSE Full time

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**
- Create the strategies for the efficiency on claims processing to be able to delivered the KPI's
- Monitor the analysing and processing claims both of life & health claims from the Insurance Company
- Provide recommendation regarding claims dispute that may pose a risk or loss to the company
- Conduct claim investigations (either by Telephone/WA/etc) to validate claim documents received from clients/insurance
- Meeting with insurance if there are problems in the claim process
- Participate in visits to client offices during quarterly service reviews, together with the marketing team and other stakeholders
- Identifiy and implement system and process enhancement ideas to maximise the efficiency and quality of processing claims
- Manage & monitor case monitoring from the Insurance Company
- Responsible to providing Report Complain including SLA as per target KPI's
- Collaboration with MIS to provide analysis data claim for NB & Renewal such as claims experience, interpret data from MIS and utilization report
- Create relationship with Provider network to enggage the wellness program

**Qualifications**
- Have a mínimal Bachelor Degree with Doctor / Medical major.
- Have 3-5 years of working experience as Client Relation, Claim and or Operation role with experience in managing team from Insurance (Health and or Life)/ Brokerage company.
- Have a solid knowledge in Employee Benefit product & end to end process.
- Strong collaborative skills in a fast-paced team-centric environment with the ability to present information in a clear, insightful and concise manner.
- Have experience handling life insurance guarantee letter / utilization review would be a plus.
- Have experience in setting up and create proposal of Wellness Program
- Well versed with Microsoft Excel / Google Sheet especially for analyzing data and create report.
- The ability to demonstrate data analytics, decision making and problem-solving skills.
- Have a good attitude and proven leadership skill.

**About FUSE**

Fuse is a breakthrough company in the insurance industry. We provide one app for various insurance product types from numerous well-known and trusted insurance companies. We have expanded our business not only in Indonesia but also China and Vietnam, and are planning on an even bigger expansion to grab markets from other Southeast Asia countries.

Our vision is to deploy the latest cutting-edge technology that enables everyone to buy, claim, or sell all kinds of insurances easily and instantly.

Our mission is to be an insurance technology/platform partner that allows all online/offline channel partners to sell multiple insurance products from multiple insurance companies online in real-time.

Fuse is committed not only to make insurance easily available for everyone but also to spread awareness about the importance of having financial plans and protection through insurance.

**More about FUSE**

FUSE Group LinkedIn


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