Claim (Medical Doctor)
4 days ago
- Analyze hospitalization and non-hospitalization claim based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed
- Calculating the hospitalization claim based on the provision policy and benefit plan of the insured.
- Improvement of product and system knowledge
- Do proper claim process analysis based on the claim's guideline and policy provision
- Addressing medical inquiries and questions from agents
- Maintain and improvement service standard
- Handling complaint and error monitoring
- Have a Medical Doctor degree with minimal 3.00 GPA
- Have sufficient communication and interpersonal skills both in Indonesian and English.
- Have a good personality and work attitude and be able to work together in a team.
- Action-oriented and customer oriented
- Computer literate: word, excel, visio and power point applications
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Medical Doctor
4 days ago
Jakarta, Jakarta, Indonesia PT. PRIMA SARANA JASA Full time 4,000,000 - 8,000,000 per yearWHAT YOU'LL BE DOINGAttend transmission and attend Case Quality Review in Operation Excellence every working day and duty day and give case directly to the best of his/her knowledge.Assist daily activity in the Operation Excellence Department in obtaining sufficient medical reports from the medical providers to move the case forward.Assist daily activity in...
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Medical Advisor
4 days ago
Jakarta, Jakarta, Indonesia Sunday Full time 1,500,000 - 3,000,000 per yearAs Medical Advisor each day, you'll be…Case management of complex high value cases Recommendation on claim decision Medical claim analysis for Statistical report purposeAggressive cost containment through tight adjudicationRequirements: Doctor (General Practitioner), with 24 hours on call availability Have experience in Insurance, or Assistance Company...
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Case Management Doctor
2 days ago
Jakarta, Jakarta, Indonesia Halodoc Full time $40,000 - $60,000 per yearKey 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...
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Aesthetic Doctor 医美医生
2 days ago
Jakarta, Jakarta, Indonesia LS MEDICAL GROUP Full time 120,000,000 - 240,000,000 per yearAesthetic Doctor (Jakarta)LS Medical Group Location: Jakarta Employment Type: Full-time Salary: IDR 15,000,000 – 30,000,000 (based on experience) About LS Medical GroupLS Medical Group is a leading aesthetic and wellness clinic from Malaysia, now expanding in Indonesia.We believe beauty begins with confidence — and we empower every client with...
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aesthetic doctor
4 days ago
Jakarta, Jakarta, Indonesia Farmanina Clinic Full time 39 - 48 per yearCompany DescriptionWe suggest you enter details here.Role DescriptionThis is a full-time on-site role for an Aesthetic Doctor located in Jakarta, Indonesia. As an Aesthetic Doctor, you will provide consultations and perform aesthetic treatments, ensuring patient safety and satisfaction. You will evaluate patients' needs, recommend suitable procedures, and...
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Aesthetic Doctor
2 days ago
Jakarta, Jakarta, Indonesia Dea Mirabelle Full time 500,000,000 - 1,500,000,000 per yearCompany DescriptionDea Mirabelle is a beauty clinic with 4 branches located in Jakarta, Bekasi, and BSD City. Since its establishment in 2016, Dea Mirabelle has focused on offering premium beauty treatments at affordable prices. The clinic has become a preferred choice for many and has received several accolades, including the IBSA Partnership Awards for...
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Section Head Health Claim_Dokter Senior
2 weeks ago
Jakarta, Jakarta, Indonesia Asuransi Astra Full time 90,000,000 - 120,000,000 per yearSection Head Health Claimhave to make sure the verification and approval claim processes executed properly & thoroughly, also they need to encourage and implement innovations in process and services in Health Claim.Job DescriptionsEnsure: (a) Claim content (medical procedures, medical examinations, and medications) in accordance with policies' coverage plan;...
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Beauty Doctor
4 days ago
Jakarta, Jakarta, Indonesia ZAP Clinic (PT. Zulu Alpha Papa) Full time 50,000,000 - 150,000,000 per yearQualifications:Maximum age 30 years old,Graduated from Medical Degree (Dermatology) or Medical Science Degree for Beauty Doctor from reputable UniversityHaving experience in aesthetic will be a plusFresh Graduates having a passion in the aesthetic field are also welcome (holding an STR)Having good communication and interpersonal skillsWilling to be trained...
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Claim Lead
4 days ago
Jakarta, Jakarta, Indonesia Monee Full time 9,000,000 - 12,000,000 per yearJob DescriptionDevelop and implement a strategic vision for the life insurance claims department in alignment with the company's overall goalsOversee the entire life insurance claims process, from the initial claim notification to final settlement.Ensure compliance with regulatory requirements, company policies, and industry standards.Implement and update...
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Teleconsultation Doctor Part-Time
4 days ago
Jakarta, Jakarta, Indonesia PT Vertika Technologies Nusantara Full time $15,000 - $30,000 per yearCompany Description: is a technology-driven health and life insurance provider in Indonesia, offering a holistic approach to healthcare services and well-being. Unlike traditional insurance products, Rey focuses on quality healthcare services to improve the lives of its members. The company is committed to reimagining and democratizing life and health...