Claim Jr. Manager

Halodoc; Jakarta Utara; On-site; IDR 200.000.000 - 300.000.000; Full time

Job summary

A health-tech platform in Jakarta Utara is seeking a Claim Jr. Manager to supervise the day-to-day management of health insurance claims. The ideal candidate will have 4-5 years of experience in claims operations, proven leadership skills, and a deep understanding of health insurance products. This role includes ensuring claims are processed efficiently and improving claims systems and processes.

Qualifications

• 4–5 years of experience in Claims operations or Case Monitoring.
• Proven leadership experience in managing teams.
• Deep understanding of health insurance products and claims.

Responsibilities

• Supervise daily claims processing and ensure SLA compliance.
• Review and validate complex or escalated claims.
• Monitor team productivity, accuracy, and performance.

Skills

Leadership

Problem-solving

Analytical skills

Communication

Education

Bachelor Degree in Health Science or Insurance

Job description

Overview

We’re looking for Claim Jr. Manager to support the day-to-day management of health insurance claims. This role ensures claims are processed accurately, efficiently, and in line with company policies and SLAs. You’ll supervise a team, coordinate with internal departments, and help improve claims systems and processes.

Responsibilities

• Supervise daily claims processing and ensure SLA compliance.
• Review and validate complex or escalated claims.
• Monitor team productivity, accuracy, and performance.
• Support process improvement and automation initiatives.
• Coordinate with internal teams and clients on claims inquiries.
• Assist in training and coaching team members.

Qualifications

• Minimum Bachelor Degree in Health Science, Insurance (MD, Nursing or other medical-related fields).
• 4–5 years of experience in Claims operations or Case Monitoring (TPA or health insurance).
• Proven leadership experience in managing teams and overseeing daily claims operations.
• Deep understanding of health insurance products, claims adjudication, and managed care models.
• Excellent understanding of medical terminologies especially for treatment and surgeries.
• Strong analytical, problem-solving, and communication skills.
• Willing to be on-call for urgent claims or client-related escalations when necessary.
• Availability for work outside usual hours when required (e.g., weekends, evenings, public holidays).

About Halodoc

Halodoc is a health-tech platform with a mission to simplify access to healthcare by connecting millions of patients with licensed doctors, insurance, labs, and pharmacies in one mobile application. Halodoc’s innovative technology, nimble services, and patient focus enable solutions including 24/7 doctor teleconsultation; medicine purchase & delivery; lab services at home; and strong customer service.