Claim Manager

Job Description:We are seeking an experienced Medical Claim Manager to lead and oversee the end-to-end medical claims process. This role ensures claims are handled efficiently, accurately, and in compliance with company policies and regulatory standards. The ideal candidate will collaborate with internal and external stakeholders to enhance customer...

Job Summary:We are looking for a dedicated and experienced Medical Claims Supervisor to manage and oversee the daily operations of the medical claims team for one of our esteemed clients, an insurance company. The successful candidate will be responsible for supervising the claims processing workflow, ensuring that all claims are managed efficiently,...

Responsible for the process of risk claims, including individual, group and provider claims and provide claim decisions according to the value of the Authorization. As well as reporting and analyzing the impact on the companyCoordinating process governance, decision making and reporting of risk claims, ensuring that the Company has carried out its risk claim...

Job Requirements Job Summary Responsible in managing day to day operational process claims from in-processing & out-processing claims by ensuring those process runs smoothly by following the policy/procedures/guideline and delivered within the expected turn-around-time. Responsible in monitoring the overall team performance, coaching, and ensure all the...

Job DescriptionReceive and verify claim documents and their completeness.Input claim data into the Document Management System accurately and timely.Stamp claim documents according to the received date.Perform scanning, filing, and documentation of claim documents.Prepare and submit daily claim receipt reports (initial reports).Create reports on document...

PT FWD Insurance Indonesia (“FWD Insurance”), a joint-venture insurance company and a part of FWD Group, previously known as PT Commonwealth Life, has successfully merged with PT FWD Life Indonesia (“FWD Life”) as of 1 December 2020 and will be known as FWD Insurance. The merger of FWD Life and FWD Insurance has led to a more comprehensive range of...

We are currently building the #1 Insurtech in Southeast Asia that helps people to reach insurance in the most efficient way. Therefore we need talent with great potential like you to join this growing organization, learning the right skills and also building great teams to reach our goals. **Responsibilities** - Create the strategies for the efficiency on...

Develop and maintain strategic partnerships with healthcare providers.Negotiate service agreements, tariffs, and terms with hospitals and clinics.Monitor provider performance in accordance with Service Level Agreements (SLA).Resolve operational issues and complaints from providers.Conduct regular reviews and evaluations of hospital services and claims...

Summary Of The JobThe role encompasses the comprehensive management of the end-to-end claims process, which includes effective communication with various stakeholders, meticulous document handling, system registration, and the escalation of issues to the relevant team members. This position specifically supports the Qoala Gadget Protection and Qoala for...

As 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...