Individual Health Claim Analyst Supervisor Jobs

Berpengalaman min. 1-2 tahun di bidang pengelolaan polis/ pernah bekerja di perusahaan asuransi

Memiliki kemampuan interpersonal yang baik

Memiliki kemampuan bekerja sama dalam tim

Berpengalaman dalam penggunaan aplikasi pengelolaan data (min. excel advanced level)

Preferably have a good understanding about clinic management

Preferably a doctor with Occupational Specialist Certification

Able to work as a team and manage a team

Adequate work facilities when working from home

Encourage and implement innovations in process dan new services

Candidate must possess at least a Medical Degree (Sarjana Kedokteran)

Experience in Logistic Transportation/ Shipping Company

Detail oriented, analytical thinking, and proven superior communication skills

Monitor liability claims from start to finish.

Analyze, monitor, verify, and update information on submitted claims and review the policy.

Minimum Bachelor's Degree in Mechanical Engineering

Dynamic team player, self-motivated and pleasant personality

Checking document completeness and validity of non-hospitalization claims

Analyze and provide decision non-hospitalization claims.

Provide letter regarding claim decision.

Provide summary for reassurance referral.

Coordinate with other team to communicate with customer and resolve customer complaints.

Ad-hoc project regarding non-hospitalization claim.

Preferably having experience in the field of occupational health at mining companies

Preferably have Hiperkes and TOT certification

Bachelor Degree in Public Health/ bachelor of Nursing

Preferably understanding Health Risk Assessment (HRA)

Having ability to create, implement, and evaluate four occupational health pillar programs

Having ability to report accurately and systematically

Good medical knowledge and analytical thinking.

Minimum 1 year experience as Medical Opinion in lif insurance industry.

Responsible for analyzing medical claim, in accordance with limit approval level and claim procedure.

Ensure claim assessment is made accurately, consistent and fair.

Provide evaluation and medical opinion.

Settle medical claim process and do required coordination in order to support claim process settlement.

Have an experience in the field of life insurance

Minimum 2 years experiences in Life Insurance/HR Consultant

Analyze health business conditions, propose, and implement the improvement based on the business conditions and digital trend

Advice, evaluate, and implement health business development

Develop, execute, and lead the development of Health Business projects

Propose and implement programs/activities/content on the Medcare application

Bachelor degree with good knowledge in Insurance principal and medical

Minimum 3 years of relevant experience

Have a good knowledge in system, claim process, Insurance Principal and AIA policy provision

Good leadership and decision making skill

AIA currently is hiring for Claim Analyst role with below details responsibilities & role:

Ensure End to End Major claim process have good quality and valid as our policy provision.

Understand and have extensive knowledge in the health and digital fields or in related fields

Accustomed to working with or understanding Mekari Talenta and Human Resources (HR) & employee benefits applications

Minimum 2 years experience in the related field

Analyze health business conditions, propose, and implement the improvement based on the business conditions and digital trend

Advice, evaluate, and implement health business development

Develop, execute, and lead the development of Health Business projects

Bachelor degree with good knowledge in Insurance principal and medical

Minimum 3 years of relevant experience

Have a good knowledge in system, claim process, Insurance Principal and AIA policy provision

Good leadership and decision making skill

AIA currently is hiring for Claim Analyst role with below details responsibilities & role:

Ensure End to End Major claim process have good quality and valid as our policy provision.

Have experience 1 - 2 years in health insurance or health service provider (hospital/clinic)

Good communication and personal skill

Effective verbal and written communication skills

Strong multi-tasking and prioritization skills

Experience collaborating in a team environment and building cross functional working relationships

Bachelor’s Degree of Medicine, preferably with a medical degree

Possess special knowledge, training or experience with individual needs, abilities, and limitations.

Minimum S1 / Bachelor of Education or related subjects.

Minimum 2 years of relevant experience

Possess some professional teaching qualification such as Council of British International School (COBIS) International Teaching Assistant certificates.

Possess communication and interpersonal skills in order to effectively liaise with students and other parties

Identifying student’s individual needs to prepare unique learning programs that enhance their knowledge and ability.

Good analytical thinking and problem-solving, notions on project management

Manage claim handling process from cost control to payment based on the agreed SLA

Manage claim improvement in process and tools

Excellent communication skills in English (both written & spoken)

Advanced in Ms. Excel and programming knowledge

Regular status report on audits and on large claim amounts airline relationship and direct settlement process implementation

Experienced in minimum 3 years in fundraising program for a non-profit organization, running individual giving program would be a benefit.

Have experience or knowledge in running digital marketing program is a plus.

Manage Digital Marketing team or agency to ensure digital acquisition activities are continuously optimized to deliver against KPIs.

Outstanding written communication and presentation skills in English and Bahasa Indonesia.

Ability to manage a complex and diverse workload and to work to tight deadlines.

Strong interpersonal and influencing skills to develop strong working relationships with internal and external.

2-3 years of experience in Accounting/Finance/I2C area.

Good knowledge and understanding of Accounting/Finance/I2C area.

Bachelor's degree (S1) in Accounting or Finance, or in a related discipline

Working experience in Public Accounting Firm is a plus.

English verbal communication and writing skills.

Power BI and/or other reporting tools (macro, power query) skill is a plus.