Insurance Claim Analyst Jobs

At least 2-5 years working experience in related fields

Have experiences with project mobile app & web app

Have skill SDLC Agile or Scrum

Have skills in MOM, BRD, FSD, ERD, SIT, UAT & etc

Have skill design mockup / prototype (Figma, Balsamiq, etc)

Have knowledge of SQL / NoSQL database

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)

Having knowledge to identifies, evaluates, operational processes and procedures, problems and requirements.

We offer veryattractive salaryandoutstanding benefits.

Conduct business and user requirement analysis.

Gain / maintain an in-depth knowledge of business functions.

Having experience in insurance industry.

Good leadership skill, initiative, teamwork, integrity, and detail-oriented person.

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.

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.

Bachelor’s degree with good knowledge of General Insurance principal, Minimum 2 years of relevant experience fresh graduates are welcome to apply.

Cooperate with other departments needed such as: Underwriting Dept., Finance Dept., Legal Dept., Compliance Dept., etc.

Have a good knowledge of the system, claim process, Insurance Principal, and policy provision.

Good leadership and decision-making skills

Ensure the End-to-End claim process with good quality and valid as per SeaInsure policy provision.

Monitoring performance claim process internally by creating solutions to minimize repetitive errors or any delayed process.

Collaborate with stakeholders, including business units, underwriters, claims, and finance teams, to identify and document business requirements, goals, and objectives.

Collaborate with IT teams, project managers, and external vendors to ensure seamless implementation of technology solutions that align with business requirements.

Proven experience in gathering and documenting business requirements, conducting process analysis, and proposing solutions.

Relevant insurance certifications or qualifications are advantageous.

Develop comprehensive business requirement documents (BRDs) and functional specifications to accurately capture and communicate business needs to development teams.

Knowledge of insurance industry software applications and platforms is a plus.

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.

(Preferably has experienced in Product Delivery or Insurance Industry)

3. Work with QA team & business users to validate system delivery against requirement

4. Manage and track end-to-end system enhancement delivery from start until completion

[This job open for Product Owner and Business Analyst]

1. Collaborate with stakeholders in defining the product vision and developing product

roadmap accordingly to this vision.

In-depth knowledge of the industry standards, regulations related, and insurance reporting

Excellent skill in Ms. Office and Ms. Access

Final year student of Actuary, Mathematic, or Statistics with min GPA 3.00

Fresh graduate are encouraged to apply

Certified in AAAIJ/AAIJ/ASAI/FSAI is an advantage

Good time management skills, able to prioritize work to ensure efficiency

Knowledge and register new claim

Minimum 3 years experience in marine claims

Have good English language skills

Possess good communication skills, both written and verbal

Possess good interpersonal skills and is customer-oriented

Good understanding of project management and reporting

Minimum 2 years working experience in delivering high to medium size software development project, specifically in financial / insurance industry

Understand how to elaborate user requirement, build software solution, conduct and arrange user testing

Knowledge in IFRS17 is an advantage

Bachelor Degree majoring Information Technology / System Information

Understand datawarehouse and ETL process

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 in banking, finance or insurance company

Have extensive knowledge of the bank's business processes

Prepare Business Requirement Document (BRD) documents

Have experienced in writing test scenario.

Have a relevant experience in end-to-end banking data processing will be a plus

Strong knowledge in use case and flow chart.

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

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

At least 2 year(s) of working experience in the related field is required for this position.

Create Business Requirement Document (BRD)

Knowledge of Software Development Life Cycle ( SDLC ).

Understanding and experience with SQL language (for query purpose)

Knowledge about Life Insurance products and business processes are advantages.

Knowledge about IFRS 17 are advantages.

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.