CLAIM ANALYST

Job Requirements

• Medical background/knowledge (Nurse/Midwife/Pharmacist)
• Minimum 2 years of employment in Insurance/TPA or similar industries
• Excellent knowledge of health insurance policy, health claim procedures, analytical and detail-oriented.
• Well-versed in English, spoken and written. Certification from a University or a standardized test (IELTS, TOEFL) will be an advantage
• Willing to work in shifts
• Great personality, positive attitude, and able to work in a team

Job Responsibilities

• Ensure medical procedures, examinations, and medications in accordance with the policy coverage plan.
• Ensure claim assessment and adjudication according to the diagnosis (clinical pathways), patient conditions
• Review claims to ensure the accuracy and make adjustments as necessary
• Verify bill forms from hospitals or vendors and check completeness
• Process requirements and make corrections as necessary
• Follow up on incomplete requests
• Generate daily reports
• Work in alignment with SOP and regulations of the Department
• Work closely with team members to provide the necessary and best services for clients

Company Overview

PT. AA International Indonesia was founded on 19 December 2007 and is a leading assistance company in Indonesia. Starting in 2020, we launched a new brand, Across Asia Assist (AAA), becoming the head office for regional branch offices. Our mission is to bring assistance to the customer’s doorstep.

In this technological era, customer demands and business operations are changing dramatically. We aim to be the industry’s number one choice for an assistance provider by applying advanced technology.

AAA is responsible for ensuring optimum response performance, resource availability, and top service quality to its members. We have invested in our own fleet of ground ambulances under the brand name AAA Regal Ambulance, operating throughout Peninsular Malaysia and Singapore.

Through our 24/7 contact center and operational team, AAA provides a range of services such as healthcare services, medical assistance, travel assistance, roadside assistance, concierge services, second medical opinions, and more.

We are the core partner for IAG (International Assistance Group in Indonesia) and currently serve many corporate clients, ranging from multinational insurance companies to small-medium-big enterprises.

We are looking for dynamic and skillful individuals who are highly motivated to be part of our team in our Jakarta office.

Important Notice

PT AA International Indonesia never collects any fees in the recruitment process. We have never collaborated with travel agents or agencies in the recruitment process. If you are asked to pay for airplane tickets, hotels, or other accommodations, please ignore them. Do not share your personal or financial data with anyone. For further clarification, please contact PT AA International Indonesia.