Claim Analyst
2 weeks ago
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 ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.Sound like you? Then read on.About The RoleResponsible for providing technical medical expertise for decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders.Main ResponsibilitiesEnsure claim process at TPA have good quality and valid as our policy provisionAnalyze TPA cashless claimSecondary layer review case amount >20 million before creating CDVMonitoring cashless performance at TPA by creating solution to minimize repetitive error or any delayed processMinimize complaint and increase customer satisfactionCooperate with Underwriting Dept related cases with PEC/NDC that's found at TPA claim processRespond any enquiry from provider related claim payment by AIAAd HocReport NDC finding for re-underwriting reviewMeeting with customerJob RequirementsBachelor's degree with medical doctor (must)Minimum 5 years of relevant experience in life or health insurance industryHave a good knowledge in system, claim process, insurance principal and AIA policy provisionAble to work in a fast-paced environmentGood communication skill; english written and verbal skill is preferableGood leadership and decision-making skillBuild a career with us as we help our customers and the community live Healthier, Longer, Better Lives.You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
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Claim Analyst
1 week ago
Jakarta, Jakarta, Indonesia PT Maskapai Reasuransi Indonesia Tbk Full timeRole Description - Duties & Responsibilities:Conduct claim analysis based on strong medical knowledge related to the claim process, including claim submission, review, and resolution, covering medical terminology, relevant medical codes, as well as understanding life insurance products, policy mechanisms, claim procedures, and applicable regulations.Identify...
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Claim Analyst
1 week ago
Jakarta, Jakarta, Indonesia PT Maskapai Reasuransi Indonesia Tbk. Full timeRole Description – Duties & Responsibilities:Conduct claim analysis based on strong medical knowledge related to the claim process, including claim submission, review, and resolution, covering medical terminology, relevant medical codes, as well as understanding life insurance products, policy mechanisms, claim procedures, and applicable...
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Claim Analyst Non MV
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Jakarta, Jakarta, Indonesia PT Asuransi Digital Bersama Tbk Full timeJOB SUMMARYResponsible for reviewing and processing Travel insurance claims to ensure accuracy and compliance with company policies and regulations. Key responsibilities include analyzing claim documentation, assessing the validity of claims, communicating with claimants and other stakeholders, and preparing reports on claim outcomes.KEY...
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Claim Analyst Non MV
3 days ago
Jakarta, Jakarta, Indonesia PT Asuransi Digital Bersama Full timeJOB SUMMARYResponsible for reviewing and processing Travel insurance claims to ensure accuracy and compliance with company policies and regulations. Key responsibilities include analyzing claim documentation, assessing the validity of claims, communicating with claimants and other stakeholders, and preparing reports on claim outcomes.KEY...
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CLAIM ANALYST
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Project & Claim Data Analyst
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Jakarta, Jakarta, Indonesia Sinergi Performa Cipta Full timeAbout the Role:We are looking for a detail-oriented professional to provide project management and claim analysis support. This role is responsible for monitoring and maintaining systems related to commitment, accruals, utilization, and claims, as well as verifying distributor claims to ensure compliance and accuracy. You will work closely with commercial...
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Data Analyst
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Legal Analyst
1 week ago
Jakarta, Jakarta, Indonesia Corim Group Indonesia Full timeScope of Work:The primary responsibility of a Legal Analyst include gathering, interpreting, and analyzing legal data, such as;1. Conducting legal research and investigating complaints, claims, lawsuits.2. Examine the legality of existing company rules and policies.3. Creating reports, summaries, presentations, and process...
