Medical Claims Analyst - Leading Insurance Company

Join a leading insurance company in Indonesia as a Medical Claims Analyst and play a pivotal role in ensuring accurate, efficient, and compliant processing of health-related insurance claims. This position offers a competitive salary, remote work options, and the opportunity to work with cutting-edge software like SAP and MediClaim. Our company, based in Jakarta Raya, is committed to providing top-notch services and is looking for a dedicated professional to join our team.

As a Medical Claims Analyst, you will be responsible for reviewing and processing medical insurance claims, ensuring they meet our company's standards and regulations. You will work closely with our claims team, healthcare providers, and policyholders to resolve any discrepancies and ensure smooth operations. This role is perfect for someone with a background in insurance, healthcare, or a related field who is passionate about making a difference in the lives of our policyholders.

If you are looking to join a reputable company and make a meaningful impact, this is the perfect opportunity for you. We offer a dynamic work environment, continuous learning opportunities, and the chance to grow your career in the insurance industry.

📋 Tanggung Jawab Pekerjaan

• Review and process medical insurance claims to ensure accuracy and compliance with company policies and regulations.
• Analyze and resolve discrepancies in claims data using SAP and MediClaim software.
• Collaborate with healthcare providers, policyholders, and internal teams to ensure timely and accurate claim settlements.
• Monitor and report on claims trends and performance metrics to identify areas for improvement.
• Stay up-to-date with industry regulations and best practices to ensure compliance and continuous improvement.
• Provide exceptional customer service to policyholders and healthcare providers.
• Participate in training and development programs to enhance your skills and knowledge.
• Contribute to team meetings and projects to support the overall goals of the claims department.

🎓 Kualifikasi & Syarat

• Bachelor's degree in Insurance, Healthcare Administration, Business Administration, or a related field.
• Minimum of 3 years of experience in medical claims analysis or a related role in the insurance industry.
• Strong knowledge of insurance claims processes, healthcare regulations, and industry standards.
• Proficiency in using SAP and MediClaim software for claims processing and analysis.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently and as part of a team in a fast-paced environment.
• Strong attention to detail and commitment to accuracy and compliance.
• Fluency in both English and Indonesian languages.

🛠️ Keahlian

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