Claim Analyst - Nurse/Midwifery

Date Posted: Posted30+ hari yang lalu

Salary:

Jakarta

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.
Verifying and updating information on submitted claims.
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.
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.
Maintenance of records, files, and documentation

Candidate must possess at least a Diploma or Bachelor's Degree majoring in Nursing, Pharmacy / Pharmacology, Public Health or equivalent is preferred.
WILLING TO WORK WITH SHIFTING (If needed)
Experience in related industry (Insurance/TPA) minimum 2 years
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 ).