- Analyze medical claims from Provider or Clients.
- To asses and review of medical claims/surgery billings from Provider for reasonable and necessary charges and ensure benefit payments are correctly made.
- To provide recommendation related claim rejections and action to improve claim performance.
- To evaluate and audit claims and make recommendation for follow-up, further investigation or documentation as necessary.
- Candidate must be possess Diploma degree (preferably majoring Medical Science, Nursing, or equivalent with GPA minimum 2,75).
- Having experience in General or Life Insurance especially in handling Health Insurance or related field is required for Medical Claim Analyst.
- Having good initiative and responsive personality.
- Computer Literate.
- Homebased: Jakarta
To apply and further information, please visit our website in " Career" menu.