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Claim (Medical Doctor)

2 weeks ago

Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full time
Responsibilities:
  • 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
Requirements:
  • 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