Primary Responsibility
- Monitor claim analysis process to make sure it is done accurately and appropriately along with processing claim based on standards sets by the Company
- Reviews and analyzes claims loss, expense reserves maintains regular report
- Verifying and updating information on submitted claims
- Coordinate with Hospitals / Clinics / Physicians who care for the claimants to further acknowledge about claimant’s medical condition
- Contacting the Hospitals/Clinics and Pharmacies, especially those related to official receipt and billing detail issued by the hospitals/clinics/pharmacies so the claim process can run smoothly and payment made appropriately
- Processing a claim based on standards set by the Company
- Communicate and coordinate with servicing team to solve claim problems or communicate directly to clients
- Monitor the process of pending and decline claims along with its reasons
- Provide information to Department Head or its Superiors if any suspicious things or does not fit the standards
Qualification
Qualification
- Candidate must possess at least a Diploma or Bachelor's Degree majoring in Nursing, Pharmacy / Pharmacology, Public Health or equivalent
- WILLING TO WORK WITH SHIFTING ( If needed )
- Experience from Medical background, Claim Analysis, Communicating Skill
- Experience in handling claims and administration supports
- Good Command of English (Oral & Written)
- Good personality, positive attitude and teamwork
- Computer Literate minimum Microsoft Office ( MS Word, MS Excel, Power point )
Informasi lebih lanjut
Bidang Pekerjaan |
Status Kepegawaian |
Farmasi/Makanan Olahan, Petugas Klaim/Broker Asuransi, Farmasi/Makanan Olahan
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Full-Time
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Pendidikan Terakhir |
Gaji |
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Sesuai Peraturan Perusahaan
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Tingkat Jabatan |
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