Senior Claim Analyst

    Ditayangkan 16/October/2016

    Simpan0

    www.jobstreet.co.id

    DESKRIPSI PEKERJAAN

    Responsibilities :
     
    The incumbent will be responsible for reviewing and analyzing claims and billings of medical and surgical. These responsibilities including but not limited to:
    • Giving recommendation about appropriate payments of necessary care and appropriateness of stay as necessary
    • Evaluating claims referred by our Third Party Administrator ( TPA ) and make recommendation for follow-up, further investigation or documentation as necessary
    • Performing quality control for cashless claims (claim analysis and correspondence – reject claims)
    • Handling complaints that related to claims and medical/surgical billings
    • Maintaining relationship with Third Party Administrator (TPA)
    • Performing administrative support tasks for TPA
    • Ensuring the claim processed based on the term and regulation stated in the policy wording, also the claim paid based on plan
     
    Requirements :
     
    The successful candidates should at least have minimum requirements as follow:
    • Candidate must possess at least a Bachelor Degree in Nursing or Medical studies
    • At least 5 (five) years experiences in related area
    • Having experience in Insurance or Medical area
    • Showing accuracy with ability to work under pressure
    • Good communication and interpersonal skill
    • Good analytical thinking and achievement oriented
    • Able to work in a team or independently
     

    Tutup pada 30/October/2016

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    Kesimpulan Review

    Pros
    • Gaji yang diterima karyawan tetap walaupun penjualan menurun serta budaya perusahaan yang bagus, ramah dan kekeluarahaan sehingga memberikan kesan nyaman untuk karyawan.
    • Tunjangan kesehatan yang sudah layak bahkan karyawan yang memiliki status kontrak sekalipun juga diperhatikan oleh perusahaan sehingga kenyamanan sangat terjalin.
    Cons
    • Tidak adanya asuransi kesehatan untuk karyawan sales dan fasilitas pendukung lainnya sehingga kesejahteraan karyawan tidak terjamin oleh perusahaan dan tekanan kerja yang lumayan tinggi.
    • Atasan yang kurang ramah kepada karyawan bawahan dan kurang komunikasi untuk karyawan sehingga karyawan serasa diasingkan dan terintimidasi oleh atasan.

    Address

    Ktr Pemasaran Mal Mangga Dua Jl Raya Mangga Dua Mal Mangga Dua 5 Mangga Dua Selatan, Sawah Besar Jakarta Pusat 10730 DKI Jakarta

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