Case Manager

Key Responsibilities:Oversee case management and guarantee letters (GL) to ensure SLA/TAT compliance.Provide medical support to case management and claims teams.Review medical necessity, treatment plans, and billing for cost containment.Liaise with providers, clients, and internal teams on medical escalations.Ensure clinical quality, support training, and...

Tanggung Jawab Utama Case Manager :– Melakukan asesmen kondisi pasien (tele-assessment)– Menyusun Care Plan individual untuk tiap pasien– Memastikan kecocokan antara pasien & Care Partner– Memantau laporan harian perawatan & menjaga kualitas layanan– Menjadi penghubung utama antara keluarga pasien & tim perawatan

1. To do Case monitoring2. Fraud, waste, and Leakage reporting3. Admission assistance & LOG Issue1. Education background from Medical Science (Sarjana Kedokteran)2. Good communication skill, MS Office skill, good in detail and problem solving.3. Minimum 1 year experience is required4. Insurance knowledge is a plus• Dynamic working environment•...

At AXA, we support millions of people around the world by protecting them, their families, belongings, assets, businesses and their future.Present in 64 countries, AXA's 166,000 employees and exclusive distributors provide their expertise in support of 103 million customers through four core business activities\: Property & Casualty Insurance; Life &...

1. Education background from Medical Science (Sarjana Kedokteran)2. Good communication skill, MS Office skill, good in detail and problem solving.3. Minimum 1 year experience is required4. Insurance knowledge is a plus• Dynamic working environment• Comprehensive learning and development program• Opportunity for international working assignment•...

Responsibilities:Review Staffinc's service performance for each project in the assigned area.Responsible for supporting project fulfillment, monitoring, management, training, and offboarding processes.Prepare regular reports related to metrics and progress involving workers and clients.Build good relationships with government officials, local communities,...

Job Description:Quickly respond to reported fraud cases.Conduct end-to-end investigations on reported fraud cases.Perform site visits, handle cases, resolve issues, and directly collect on cases where losses have been identified.Prepare comprehensive reports on both the progress and results of fraud handling.Analyze fraud data (history, trends, and potential...

Job Desk:Handle corporate legal cases related to all-entities under Pintarnya Group, both inside and outside the court (including acting as in-house lawyers as needed and authorized by the company).Support follow-up actions from the results of Internal Audit Division and Anti-Fraud investigations through legal steps (criminal/civil) and/or other settlement...

Job DescriptionJob Responsibilities:Lead the country's market operation or core market role, assist the international company president in formulating the subsidiary's strategic plan per the group's strategy, and deliver the business goals of the responsible functions.Liaise with operators and partners in the responsible country, secure business...

Company Description Roland Berger is one of the world's leading strategy consultancies with a wide-ranging service portfolio for all relevant industries and business functions. Founded in 1967, Roland Berger is headquartered in Munich. Renowned for its expertise in transformation, innovation across all industries and performance improvement, the consultancy...