Claim Hospital Management Head

As Head of Claim EB each day, you'll be…Manage the end-to-end claims operations including inpatient, outpatient, and dental claims.Develop and implement claims policies, procedures, and service standards in line with company objectives and OJK regulations.Ensure timely, accurate, and compliant claims settlement in accordance with policy terms and...

Responsible for the process of risk claims, including individual, group and provider claims and provide claim decisions according to the value of the Authorization. As well as reporting and analyzing the impact on the companyCoordinating process governance, decision making and reporting of risk claims, ensuring that the Company has carried out its risk claim...

Company Description Cermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial product by bringing everything online so people can shop around for financial products online and can apply online without having to physically visit a bank.Our team hailed from Silicon Valley Tech...

Responsibilities:Analyze hospitalization and non-hospitalization claim based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if neededCalculating the hospitalization claim based on the provision policy and benefit plan of the insured.Improvement of product and system knowledgeDo proper claim process...

Job Description:We are seeking an experienced Medical Claim Manager to lead and oversee the end-to-end medical claims process. This role ensures claims are handled efficiently, accurately, and in compliance with company policies and regulatory standards. The ideal candidate will collaborate with internal and external stakeholders to enhance customer...

Requirements;Monitoring all process end to end in claim admin (input data claim, scanning document claim, decision claim, filling claim)SLA Correspondence for all claim lettersProcess Payment Claim for team FinanceAnalyze speedy claim (health)Provide report KPI for Claim Admin

Job Description:Supporting the collection and verification of claim documents from customers and workshopsInputting claim data into internal systemsFollowing up on missing or incomplete documents with relevant partiesOrganizing and filing claim documents (both physical and digital)Assisting with other administrative tasks as needed by the...

Job Summary:We are looking for a dedicated and experienced Medical Claims Supervisor to manage and oversee the daily operations of the medical claims team for one of our esteemed clients, an insurance company. The successful candidate will be responsible for supervising the claims processing workflow, ensuring that all claims are managed efficiently,...

Hospitality Specialist - Hospitality Staff TrainingCompany Overview (ServiceABLE):We are a leading hospitality company with a portfolio of upscale restaurants and hotels across Indonesia. We are seeking a bilingual hospitality specialist with expertise in restaurant training to join our team and help our clients maintain high standards of service...

Summary Of The JobThe role encompasses the comprehensive management of the end-to-end claims process, which includes effective communication with various stakeholders, meticulous document handling, system registration, and the escalation of issues to the relevant team members. This position specifically supports the Qoala Gadget Protection and Qoala for...