Claim Analyst (Medical Doctor)

• Analyze hospitalization and non-hospitalization claims based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed.
• Calculate hospitalization claims based on the provision policy and benefit plan of the insured.
• Improve product and system knowledge.
• Conduct proper claim process analysis based on the claim’s guideline and policy provision.
• Address medical inquiries and questions from agents.
• Maintain and improve service standards.
• Handle complaints and error monitoring.

Requirements:

• Have a Medical Doctor degree with a minimum 3.00 GPA.
• Possess sufficient communication and interpersonal skills in both Indonesian and English.
• Exhibit a good personality and work attitude, and be able to work effectively in a team.
• Be action-oriented and customer-oriented.
• Be computer literate: proficient in Word, Excel, Visio, and PowerPoint applications.