Claim Fraud Management Assistant Manager
5 days ago
Requirements;
- Min Bachelor Degree degree in any major
- Min 6 years working experience on Fraud Claim Management area and preferably with audit and investigation skills background.
- Experiences with Fraud Claim, Claim Audit and Claim Investigation Communication.
- Solid knowledge and strong competency of general insurance business and claim process.
- Certified Fraud Examiner (CFE) is a plus.
- Excel and Power BI
- Dana Analytic Skill, Audit and Investigation skills
- Implement and monitor company's strategy towards improving fraud saving.
- Identify potential frauds through regular CFR (Close File Review), OFR (Open File Review) and incidental reports/indications by team Claim or other parties.
- Assess the extent, materiality, and factuality of suspicious cases through on-site and/or off-site investigations.
- Propose recommendation for follow up on confirmed fraud cases to relevant departments.
- Produce Fraud Reports for both regional and internal purposes.
- Investigate any suspicious claims.
- Produce CFR & OFR Report with proposed/recommended corrective actions.
- Analyze monthly data set for potential fraud identification and recommendation for improvements.
- Set proper fraud alert rules for fraud detection and analysis purposes and continuously updating and monitoring the implementation of fraud rules to prevent fraud effectively.
- Improve fraud awareness among claim staffs through socializations and/or publications.
- Propose recommendation for follow up on confirmed fraud cases to relevant departments.
-
Anti-Fraud Assistant Manager
5 days ago
Jakarta, Jakarta, Indonesia PT Apex Nusantara Indo Full time 15,000,000 - 30,000,000 per yearRequirements;Together with Risk Management team, define the Company's Strategy for Anti Fraud Conduct Annual Anti Fraud Awareness (to employee, sales force, and customer)Collaboration with investigator in Operation (Claim Dept) and Legal Team and conduct interview with Sales Force Checking and monitoring on the process of sales force recruitment and on...
-
Head of Claim
3 days ago
Jakarta, Jakarta, Indonesia PT Central Asia Financial (Asuransi JAGADIRI) Full time 15,000,000 - 20,000,000 per yearResponsible 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...
-
Fraud Management Specialist
5 days ago
Jakarta, Jakarta, Indonesia MyRobin Full time 50,000,000 - 150,000,000 per yearMyRobin.ID, based in Indonesia, provides on-demand, pre-screened, flexible workforce solutions to businesses within 24 hours. With a community of over 2.6 million workers, we streamline the staffing process to ensure trust, commitment, and flexibility in The New Normal. MyRobin is changing the lives of 100 million workers in Indonesia with benefits like...
-
Claim Admin
5 days ago
Jakarta, Jakarta, Indonesia Qoala Full time 9,000,000 - 12,000,000 per yearSummary 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...
-
Claim Warranty Staff
5 days ago
Jakarta, Jakarta, Indonesia byOrange Full time 4,000,000 - 8,000,000 per yearThis position will be responsible for handling vehicle warranty claim processes accurately and efficiently, ensuring all claims comply with manufacturer policies and Indonesian consumer protection regulations. The role also aims to manage costs effectively and support customer satisfaction improvement.Key Responsibilities:Handle warranty and "Three...
-
Head Of Fraud
5 days ago
Jakarta, Jakarta, Indonesia Talent Insider Full time 10,000,000 - 20,000,000 per yearTalent Insider is an upcoming HR Consultancy Service, founded in 2021. Our clients have been some of the leading brands in Indonesia, and this service continues to expand.Registered in Singapore & Indonesia, we can assist with your growth plans and strategies, and continue to expand our regional presence with strong regional partners to assist our client in...
-
Cashless Health Claim
3 days ago
Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full time 6,000,000 - 8,000,000 per yearPrinciple Duties & Responsibilities:To manage team.To monitor and to ensure that that following processes in the team are in place, made 100% accurate and according to agreed SLA.To give advice regarding policy provision on guarantee cashless claim cases when consulted by team members.To give training and feedback regarding guaranteed cases/updates from...
-
Anti Fraud Manager
5 days ago
Jakarta, Jakarta, Indonesia Indodana Full time 80,000,000 - 120,000,000 per yearJob DescriptionManage Fraud risk Operations, including but not limited to Prevention, Detection, Investigation and Monitoring.Identify fraudulent and high risk applications and/or transactions.Develop and manage fraud risk strategics, including the creations of rules and triggers to detect and prevention fraud also monitoring risks and implementing...
-
Claim Non MVHE
5 days ago
Jakarta, Jakarta, Indonesia PT Asuransi Wahana Tata Full time 30,000,000 - 50,000,000 per yearResponsible for handling non-motorcycle insurance claims (marine cargo, property, fire, etc.)Conducting analysis, surveys, and coordinating claim submissions with customers and other related partiesSupervise the submission of non-motorcycle insurance claims from the time of submission to completionAssist in handling the administrative process of submitting...
-
Reinsurance Management Assistant Manager
5 days ago
Jakarta, Jakarta, Indonesia PT Apex Nusantara Indo Full time 90,000,000 - 120,000,000 per yearResponsibilities;Responsible for maintenance of Reinsurance Account both of proportional (Q/S, Surplus) and non-proportional (XOL).Responsible to send SOA to re-insurers for all Company Business as per SLA determined with Reinsurance Parties and to do settlement of Reinsurance balances.Responsible to prepare all payment process both expenses and claim...