Claim (Medical Doctor)
2 weeks 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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Head of EB Claim
10 hours ago
Jakarta, Jakarta, Indonesia Easy Sunday Full timeAs 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...
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Medical Advisor
11 hours ago
Jakarta, Jakarta, Indonesia Sunday Full timeAs 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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Claim Analyst
10 hours ago
Jakarta, Jakarta, Indonesia AIA Indonesia Full timeAt 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...
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Aesthetic Doctor
10 hours ago
Jakarta, Jakarta, Indonesia PT Tawada Healthcare Full timeResponsibilities :Conduct consultations and provide professional advice based on clients' needsResponsible for handling and managing clients throughout their treatment journeyProvide medical advice related to aesthetic treatments and servicesMaintain accurate and up-to-date client medical recordsPerform aesthetic treatments including : Laser Procedures,...
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Sales & Partnership Manager - Medical Doctor
11 hours ago
Jakarta, Jakarta, Indonesia Alodokter Full timeCurrently we are looking for Sales & Partnership Manager for Alomedika who has background in medicine (medical doctor).Currently, Alodokter has implemented a full WFO (work from office) system, with our office located in Noble House: 21st floor, Kuningan, South Jakarta.Responsibilities:Prospecting and Lead Generation, Identify and qualify potential...
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Minor Claim Analyst
10 hours ago
Jakarta, Jakarta, Indonesia AIA Australia Full timeAt 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...
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Aesthetic Doctor
10 hours ago
Jakarta, Jakarta, Indonesia Tawada Healthcare Full timeResponsibilities :Consultation and advice for client's needsResponsible for handling clientAble to provide medical advice related to the treatment and serviceMaintain client's recordsTreatments Involved:Lasers, Fillers & Botox, Thread lift, PRP, Meso.Requirements :Medical professionAt least 1 year experience as Aesthetic Doctor (preferred)Having an active...
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Claim Analyst
11 hours 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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aesthetic doctor
11 hours ago
Jakarta, Jakarta, Indonesia Farmanina Clinic Full timeCompany 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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Claim Analyst
10 hours 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...