CBS - Medical Team Senior Associate

Ernst & Young Advisory Services Sdn Bhd; Jakarta Pusat; On-site; IDR 66,960,000 - 100,440,000; Full time

Job summary

Ernst & Young Advisory Services Sdn Bhd is seeking a Medical Claims Assessor to verify employee medical claims and ensure completeness of submissions. You will conduct the initial screening of claims and translate data from paper to digital datasets to support timely processing.

The role requires meticulous attention to detail and prior experience as a Medical Assessor in an insurance company, along with strong customer service when addressing employee inquiries and coordinating with providers.

Qualifications

• Experience as a Medical Assessor from an Insurance Company is preferred.
• Meticulous attention to detail is essential.

Responsibilities

• Manage data verification and completeness of employee medical claim submissions.
• Conduct initial screening of medical claims based on terms & conditions.
• Serve as first point of contact for employees' medical inquiries and liaise with insurance providers to deliver excellent service.

Skills

Medical claims assessment experience

Attention to detail

Job description

• Preferably has experience as a Medical Assessor from Insurance Company (Perusahaan Asuransi Perseorangan / Badan).
• Attention to Detail / Meticulous.

Job Description :

• Manage all data verification, completeness, thoroughness of all employee medical claim submission and conduct comparative data set from manual hardcopy to data set of claims.
• Conduct first screening process in evaluating all medical claims submissions documents based on terms & conditions from the Company.
• Act as first liner in coping inquiries from related Employee regarding their medical circumstances, claims and liaising with Insurance provider to provide a great customer service toward employee.

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EY refers to the global organization, and may refer to one or more, of the member firms of Ernst & Young Global Limited, each of which is a separate legal entity. Ernst & Young Global Limited, a UK company limited by guarantee, does not provide services to clients.