Health Claim Officer

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...

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...

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....

Health Claim Officer Kualifikasi Pria/Wanita Usia maksimal 30 Tahun Pendiidkan mínimal D3 semua jurusan Memiliki pengalaman sebagai Admin, khususnya di asuransi kesehatan atau Third Party Administrator (TPA) Memiliki kemampuan Ms. Excel (Vlookup, Hlookup, Pivotable, etc) Deksripsi Pekerjaan Memproses klaim dari pelanggan atau pihak ketiga yang...

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...

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...

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...

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...

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...

**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...

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...

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...

About Our ClientA leading global insurance company is seeking a highly skilled professional to lead their Health business.This is an excellent opportunity to make a significant impact in a dynamic industry.Lead the Health Insurance division to achieve revenue growth and profitability.Develop and execute a comprehensive strategic plan for the Health business,...

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...

**Key Responsibilities** - Responsible for the establishment and maintaining procedure of the ongoing identification of hazards & risk assessment and the implementation of effective control measures referring to HEINEKEN standards and Indonesia legal requirement - Leads, fosters, and develops a caring culture where safety is ingrained as a core value with...

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 SummaryWe are seeking an experienced Insurance Claims Specialist to join our team at PT Prudential Life Assurance. This role will involve analyzing hospitalization and non-hospitalization claims based on policy provisions and medical necessity, including investigation of hospitals and/or treating doctors if needed.Responsibilities:Analyze and evaluate...

About the Job Multi Bintang Indonesia is currently hiring for Health & Safety Coordinator based in South Jakarta, Talavera Office Park, with mobility requirement to Tangerang, our office at Jl. Daan Mogot KM19. About Multi Bintang Indonesia You might think that we’re just one iconic brand, but we’re actually so much more. As the pioneer of the beer...

Company: AHI agilon health, inc. **Location**: Remote - HI Job Title: Project Coordtinator **Job Description**: Position Summary: The Project Coordinator provides support for Health Services/UM/Claims metric reporting, special project reports and training of staff. Performs appropriate analysis and training, as necessary. Maintains compliance updates...

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...