Insurance Claims Specialist
5 days ago
We 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 claims data to determine the validity of claims and ensure compliance with company policies and procedures.
- Conduct thorough investigations into claims to verify the accuracy of information provided by claimants and healthcare providers.
- Communicate with claimants, healthcare providers, and other stakeholders to resolve issues and provide updates on claim status.
- Collaborate with cross-functional teams to identify areas for process improvement and implement changes to increase efficiency and effectiveness.
- Stay up-to-date with industry developments and regulatory changes that impact claims processing.
- Bachelor's degree in a relevant field such as healthcare, business, or law.
- Minimum 3 years of experience in claims analysis or a related field.
- Excellent analytical, communication, and interpersonal skills.
- Ability to work independently and as part of a team.
- Strong computer skills, including proficiency in Microsoft Office and ability to learn new systems quickly.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.
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Insurance Claim Analyst
4 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full timeClaim Analysis PositionThis is an exciting opportunity for a skilled Insurance Claim Analyst to join our team at PT Prudential Life Assurance. The successful candidate will be responsible for analyzing claims related to hospitalization and non-hospitalization, ensuring they comply with policy provisions and medical necessity.Main Responsibilities:Analyze...
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Insurance Medical Claim Examiner
2 days ago
Jakarta, Jakarta, Indonesia Prudential Indonesia (PT Prudential Life Assurance) Full timeJob 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,...
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Healthcare Claims Specialist
2 days ago
Jakarta, Jakarta, Indonesia Prudential Indonesia (PT Prudential Life Assurance) Full timeAbout the RoleWe are seeking a highly skilled Medical Doctor to join our team as a Claims Specialist at Prudential Indonesia. In this role, you will be responsible for reviewing and analyzing claims to ensure that they meet policy requirements.You will work closely with our underwriting team to ensure that all claims are processed efficiently and accurately....
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Risk Analysis Specialist
4 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full timeJob DescriptionWe are seeking a highly skilled Risk Analysis Specialist to join our team at PT Prudential Life Assurance. The successful candidate will be responsible for analyzing hospitalization and non-hospitalization claims based on policy provisions and medical necessity.Key Responsibilities:Analyze claims data to determine medical necessity and...
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Healthcare Claims Expert
4 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full timeJob 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...
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General Insurance Business Lead
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Head of Insurance Operations
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Claim Examiner Professional
4 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full timeAbout the RoleThis is an exciting opportunity for a skilled Claim Examiner Professional 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...
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Insurance Business Director
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Medical Insurance Executive
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Aon Indonesia Insurance Brokers Executive
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Prudential Indonesia Medical Analyst
2 days ago
Jakarta, Jakarta, Indonesia Prudential Indonesia (PT Prudential Life Assurance) Full timeJob ResponsibilitiesAs a Claims Specialist at Prudential Indonesia, you will be responsible for analyzing hospitalization and non-hospitalization claims based on policy provisions and medical necessity.Specifically, your responsibilities will include:Analyzing claims to determine medical necessityInvestigating claims to ensure accuracy and...
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Risk Management Specialist
6 days ago
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Global Health Solutions Manager
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