CLAIM ANALYST

    Simpan

    www.jobstreet.co.id

    DESKRIPSI PEKERJAAN

    Responsibilities:
    • 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.
     
    Requirements:
    • 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 ).
     

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    Kesimpulan Review

    Pros
    • Memiliki hubungan yang baik diantara karyawan, sehingga terjalin kekeluargaan yang cukup erat yang membuat suasana kerja menjadi lebih menyenangkan dan nyaman.
    • Disini bisa belajar banyak hal terutama mengenai jasa administrasi klaim asuransi. Waktu kerja yang ditetapkan juga cukup baik dan tidak membebani.
    Cons
    • Tidak memberikan peluang karir yang tidak menjanjikan sehingga masa depan karyawan kurang terjamin. Belum lagi, manajemen perusahaan masih kurang baik.
    • Karena pekerjaan yang dilakukan tidaklah sedikit, pegawai dituntut untuk selalu bisa belajar cepat dan mempunyai skill multitasking untuk menghandle semua pekerjaan.

    Address

    ANZ Tower Jl Jend Sudirman Kav 33-A ANZ Tower Lt 25 Karet Tengsin, Tanah Abang Jakarta Pusat 10220 DKI Jakarta

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