Claim Analyst Supervisor

PT Apex Nusantara Indo; Surabaya ꦱꦸꦫꦧꦪ; On-site; IDR 100.000.000 - 200.000.000; Full time

Job summary

A prominent company in Indonesia is hiring a Claim Analyst Supervisor in Surabaya. The ideal candidate will possess experience in technical claims handling and have a strong analytical approach with excellent attention to detail. Responsibilities include verifying medical procedures, evaluating claims for legitimacy, and managing communication with stakeholders. This role demands a meticulous working style and a flair for numbers, ensuring high-quality claims service.

Qualifications

• Experience in technical claims handling.
• Diligent and accurate working style.
• Flair for numbers and excellent attention to detail.

Responsibilities

• Verify necessity of medical procedures and interventions.
• Evaluate and analyze medical claims for legitimacy.
• Handle reports and projects on claim investigations.

Skills

Technical claims handling

Analytical approach

Attention to detail

Job description

About the job Claim Analyst Supervisor - Surabaya

Requirements;

• Have experience in technical claims handling
• Analytical approach, diligent and accurate working style, flair for numbers, excellent attention to detail
• Verify the necessity and appropriateness of medical procedures, treatments, medication, and interventions based on the presented medical evidence
• Evaluate and analyze medical claims submitted by policyholders to ascertain their legitimacy and precision
• Handle comprehensive reports, reviews, projects, system testing on claim investigations, including medical findings, for internal use and regulatory compliance
• Coordinate and manage communication with internal and external stakeholders e.g. cedents, brokers, underwriting, actuarial, senior management etc. to gather necessary information, clarify medical details, and provide consistent high quality claims services