Claim Examiner Professional

Job SummaryWe are looking for a highly experienced Healthcare Claims Expert to join our team at PT Prudential Life Assurance. The successful candidate will be responsible for examining claims related to hospitalization and non-hospitalization, ensuring they comply with policy provisions and medical necessity.Main Responsibilities:Examine claims data to...

Job SummaryWe are looking for a skilled Medical Doctor to fill the role of Healthcare Claims Specialist at Prudential Indonesia. As a Healthcare Claims Specialist, you will play a key role in ensuring that all claims are processed efficiently and accurately.Your primary responsibilities will include analyzing hospitalization and non-hospitalization claims,...

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 UsAt GrabTaxi Holdings Pte. Ltd., we are passionate about using technology to make a positive impact on people's lives.Our vision is to be the go-to superapp in Southeast Asia, delivering exceptional services that meet the evolving needs of our customers.This role supports our efforts in managing and refining strategies related to handling lawsuits,...

Why Work with UsWe offer a dynamic and supportive work environment that fosters growth and development. As an Employee Experience Manager, you will have the opportunity to make a meaningful impact on our company culture and contribute to the success of our global organization.Key ResponsibilitiesCommunication and CollaborationServe as the central...

About Our ClientA leading global insurance company is seeking a senior professional to lead their Health business.This is an excellent opportunity to leverage your skills and experience 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...

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,...

About Our ClientA leading global insurance company is seeking a talented professional to lead their Health business.This is an excellent opportunity to drive growth and profitability in a dynamic industry.Lead the Health Insurance division to achieve top-line revenue growth and bottom-line profitability.Develop and execute a comprehensive strategic plan for...

About Our OrganizationWe are a multinational company specializing in the design and production of everyday wear products for the lifestyle market.Job DescriptionExamine market trends, product sales data, and competitor research to identify potential growth areas.Evaluate store operations and assess sales performance to inform strategic decisions.Analyze...

About GrabTaxi Holdings Pte. Ltd.As a leading superapp in Southeast Asia, we strive to drive the region forward economically while empowering everyone with heart, hunger, honour, and humility.We are committed to building an inclusive and equitable workplace that provides equal opportunity for Grabbers to grow and perform at their best.This role will support...

About the JobWe are seeking an experienced legal professional to join our team as a Legal Specialist. The successful candidate will be responsible for ensuring the company's compliance with applicable laws and regulations, as well as drafting and reviewing contracts to protect the company's interests.Your Key ResponsibilitiesEnsuring the company's compliance...

Overview of PT Good Sale TechWe are a renowned FMCG company that specializes in the production of beauty and health products. With a strong presence in multiple countries, we have established ourselves as a leader in the industry.Job DescriptionWe are seeking an experienced legal professional to join our team as a Legal Specialist. The successful candidate...

About the RoleWe are looking for a skilled professional to join our team as an Assistant Vice President. In this role, you will be responsible for managing relationships with existing clients, generating new business opportunities, and expanding our client portfolio.Key ResponsibilitiesBusiness Development: responsible for identifying and pursuing new...

Company OverviewPT Good Sale Tech is a fast-growing FMCG company that specializes in the production of beauty and health products. We operate in multiple countries, including Indonesia, China, Malaysia, the Philippines, Thailand, and Vietnam.Job DetailsWe are seeking an experienced legal professional to join our team as a Legal Specialist. The successful...

About PT Good Sale TechPT Good Sale Tech is a leading manufacturer of beauty and health products. We have developed over 10 innovative products, including makeup, skincare, bodycare, and fragrance.Our BusinessWe operate in multiple countries, including Indonesia, China, Malaysia, the Philippines, Thailand, and Vietnam. Our success in these markets has...

Company OverviewAon Corporation is a leading global professional services firm that exists to shape decisions for the better. Our colleagues provide our clients with advice and solutions that give them the clarity and confidence to make better decisions to protect and grow their business.We are united through trust as one inclusive, diverse team, and we are...

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...

**Requirements**: - Medical background/knowledge (Nurse/Midwife/Pharmacist) - Minimum 2 year of employment in Insurance/TPA or similar industries - Excellent knowledge of health insurance policy, health claim procedures, analytical and detail-oriented. - Computer literate - Well-versed in English, spoken and written. Certification from a University or a...

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...

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....

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...

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

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...

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...

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...

Posting Description: **Senior Client Services Executive - Claims** We're hiring! We are looking for a Senior Client Services Executive - Claims, to join our Reinsurance business in Jakarta, Indonesia. **Aon is in the business of better decisions**: At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an...

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 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...

**Mission/Position Headline**: Designs, develops and manages customer projects, according to defined Project Management (PM) standards and customer requirements, and with end to end responsibility for economic results, quality, schedule and EHS Areas of Responsibility: - Represents the project in the relevant decision boards internally and externally -...

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...

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

Ninja Xpress is a leading last-mile delivery service company in Indonesia. Since 2015, Ninja Xpress has been delivering success for local SMEs by organising various programs that are ready to support the quick and strategic development of SMEs. Ninja Xpress provides flexible service options and an easy-to-use system that enables real-time package tracking....

**Responsibilities**: - Serve as the primary 24/7 medical advisor for complex cases, offering expert guidance to the medical hotline department, and address escalated cases and advise on clinical decisions in Medical Hotline team - Perform and oversee medical utilization review processes to ensure medically necessary and cost-effective services. -...

**Responsibilities**: - Personnel Planning Coordinator is responsible for the day-to-day operational management, administration and record keeping of Offshore Personnel to allocated projects (i.e. appropriate assignment of personnel to projects, travel & accommodation logistics organization, visa’s, certification, permitting, etc), under guidance from the...

**Job Number** 23221979 **Job Category** Human Resources **Location** The Hermitage a Tribute Portfolio Hotel Jakarta, Jalan Cilacap 1, Jakarta, Jakarta, Indonesia VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** As a member of the property Human Resources support staff, he/she...