claim

Claims Analyst is responsible for reviewing, assessing, and adjudicating health insurance claims in accordance with policy provisions, company guidelines, and regulatory requirements. This role ensures claims are processed accurately, fairly, and within established service standards, while maintaining compliance with internal procedures and risk controls.In...

DescriptionIn this position you will… …be deliver excellent World Class customer experience to all our customers. Providing support in all aspects of claims management including but not limited to evaluation of claims, surveys whenever necessary, engaging with clients, third parties including but not limited to Insurers, repair centers or garages, and...

Claims Analyst is responsible for reviewing, assessing, and adjudicating health insurance claims in accordance with policy provisions, company guidelines, and regulatory requirements. This role ensures claims are processed accurately, fairly, and within established service standards, while maintaining compliance with internal procedures and risk controls.In...

…be deliver excellent World Class customer experience to all our customers. Providing support in all aspects of claims management including but not limited to evaluation ofclaims, surveys whenever necessary, engaging with clients, third parties including but not limited to Insurers, repair centers or garages, and hospitals, and managing the administrative...

Requirements;Bachelors degree in Medical/HealthHave experience in technical claims handlingAnalytical approach, diligent and accurate working style, flair for numbers, excellent attention to detailVerify the necessity and appropriateness of medical procedures, treatments, medication, and interventions based on the presented medical evidenceEvaluate and...

Requirements;Male/Female with max age 45 years oldMin Bachelor Degree in any major or related fieldsMin 12 years experiences in underwriting and claimMin pass AAAIK certified Strong in leadership, strategic thinking, complain handling and negotiation skillGood command in EnglishSolid knowledge and strong competency of general insurance business, claim...

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

Operations Excellence - Claim is responsible for driving operational excellence by analyzing, designing, and implementing process improvements for specific area in Claim that enhance efficiency, reduce costs, and support strategic business goals. This role focuses on identifying opportunities for optimization within Claim workflows and leading initiatives...

Job Description: Manage and monitor daily motor claims processes to ensure compliance with company procedures, Service Level Agreements (SLAs), and internal policies.Review claim documents, analyze the causes of losses, and provide recommendations for claim resolution and process improvements.Support the Assistant Manager in coordinating the Claims team,...

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...

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 Act as a FUSE representative for the insured's...

Requirements; Bachelors degree in Medical/HealthHave experience in technical claims handlingAnalytical approach, diligent and accurate working style, flair for numbers, excellent attention to detailVerify the necessity and appropriateness of medical procedures, treatments, medication, and interventions based on the presented medical evidenceEvaluate and...

Medical Advisor (for Claims) at Hanwha Life Indonesia, a rapidly growing Korea Life Insurance company in Indonesia. The role involves reviewing and adjudicating medical insurance claims, assessing medical necessity, and collaborating with internal teams and healthcare providers.Key responsibilitiesReview and adjudicate medical insurance claims based on...

Melakukan review dan verifikasi dokumen klaim untuk memastikan kelengkapan dan keakuratan dokumen, termasuk mengklasifikasikan dokumen berdasarkan jenis klaim dan layanan, serta mengidentifikasi dokumen yang tidak lengkap atau tidak valid dan melakukan eskalasi jika diperlukan.Melakukan validasi terhadap hasil analisis klaim yang dihasilkan oleh AI dengan...

Pendidikan Minimal D3 Keperawatan/ KebidananDiwajibkan Memiliki Pengalaman Minimal 1 Tahun di Bidang Claim Analyst khususnya ReimbursmentBersedia Bergabung SecepatnyaBersedia di Tempatkan di Sudirman Jakarta SelatanKualifikasi mana yang kamu miliki?PT Provis Garuda Services adalah perusahaan jasa pengelola Tenaga Kerja/Manage Service/Business Process...

Position ResponsibilitiesReview and assess health insurance claims submitted by members and healthcare providers.Verify the completeness and accuracy of supporting documents, including medical diagnoses, treatment records, investigation results, and medical expenses.Validate policy eligibility, benefits, coverage limits, exclusions, and applicable terms...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Company DescriptionCermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial product by bringing everything online so people can shop around for financial products online and can apply online without having to physically visit a bank.Our team hailed from Silicon Valley Tech...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Job Summary We are currently assisting one of our clients, a leading insurance brokerage company, in searching for a Claim Analyst. This role will be responsible for managing and administering health insurance claims, with a primary focus on International Private Medical Insurance (IPMI) products. The Claim Analyst will serve as a key liaison between...