Healthcare Claims Expert
4 days ago
We 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 determine medical necessity and compliance with policy provisions.
- Conduct investigations into claims related to hospitalization and treatment of insured individuals.
- Develop and maintain knowledge of insurance policies and procedures.
- Collaborate with healthcare providers to resolve claim disputes.
A Medical Doctor degree with a minimum GPA of 3.00, combined with excellent communication and interpersonal skills, is essential for this role.
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Insurance Medical Claim Examiner
1 day 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
1 day 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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Insurance Claims Specialist
4 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full timeJob 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...
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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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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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Cost Control Expert
2 days ago
Jakarta, Jakarta, Indonesia INDODAX - Indonesia Digital Asset Exchange Full timeWe are seeking a Cost Control Expert to join our team at INDODAX - Indonesia Digital Asset Exchange. As a key member of our finance department, you will be responsible for reviewing and validating cost claims/reimbursements submitted through the ApprovalMax software.Your primary focus will be on coordinating across departments to address any discrepancies in...
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Prudential Indonesia Medical Analyst
1 day 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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Pharmaceutical Regulations Expert
1 day ago
Jakarta, Jakarta, Indonesia Wellesta Full timeCompany OverviewWellesta CPI is the Indonesian subsidiary of Wellesta Holdings Pte Ltd, Singapore. We support companies in the Healthcare sector to provide marketing and commercial support for companies that are already operating in Indonesia, as well as multinational corporations that are convinced to enter the Indonesian market.Job DescriptionThe...
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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 Sector Leader
1 day ago
Jakarta, Jakarta, Indonesia Michael Page Full timeAbout 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...
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Plastic Surgery Expert
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Contract Law Expert
3 days ago
Jakarta, Jakarta, Indonesia PT Good Sale Tech Full timeAbout 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...
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Singapore Channel Manager
1 day ago
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Enterprise Solutions Expert
1 day ago
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Healthcare Referral Solutions Expert
1 day ago
Jakarta, Jakarta, Indonesia Monroe Consulting Group Full timeAbout the RoleWe are seeking a seasoned Medical Referral Department Head to join our client's team in Jakarta, Indonesia.As a key member of the organization, you will be responsible for developing effective referral strategies, structures, budgets, and campaigns to increase patient referral volumes and meet revenue targets.You will work closely with the...
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Talent Management Expert
4 days ago
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Financial Planning Expert
1 day ago
Jakarta, Jakarta, Indonesia F. Hoffmann-La Roche Gruppe Full timeAt Roche, we value diversity, equity, and inclusion to drive healthcare innovation.The PositionWe are seeking a Senior Controlling Manager to lead financial planning and analysis (FP&A) activities.This is a challenging opportunity for a seasoned professional to drive business growth and development.Key ResponsibilitiesLead FP&A and controlling...
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Senior Software Developer
1 week ago
Jakarta, Jakarta, Indonesia Akar Inti Teknologi Full timeCompany OverviewAkar Inti Teknologi (AIT) is a full-service software house that excels in helping companies achieve their digital transformation goals. Our team of experts focuses on building innovative solutions that exceed expectations, prioritizing reliability and scalability.Our extensive portfolio showcases successful projects for renowned brands across...
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Web Scraping and ETL Expert
1 day ago
Jakarta, Jakarta, Indonesia Integrity Full timeAbout UsIntegrity Indonesia is a foreign investment company operating in Indonesia for 22 years. Our business focuses on preventing, detecting, and investigating fraud.We offer services including employment background screening, whistleblowing systems, mystery shopping services, due diligence, process serving, research & market intelligence, asset tracing,...
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SAP Consultant Expert
1 week ago
Jakarta, Jakarta, Indonesia PT ABeam Consulting Indonesia Full timeAbout PT ABeam Consulting IndonesiaAs a global consulting firm from Asia, PT ABeam Consulting Indonesia helps clients take on the challenge of business transformation through more than 40 years of growth. Our vision is to be the No. 1 global consulting firm from Asia.SAP Consultant Job DescriptionProvide services to clients both domestically and...