Claims Analyst (Health Insurance) - Jakarta

Allianz Partners; Jakarta Pusat; Hybrid; IDR 78,120,000 - 133,920,000; Full time

Benefits offered by this job

BPJS Kesehatan

BPJS Ketenagakerjaan

Private Medical Insurance

DPLK - Pension Fund

Accident Insurance Outside of Working

THR

Annual leave

Job summary

Allianz Partners is seeking a Claims Analyst in Jakarta to manage health insurance claims end-to-end, liaising with hospitals and doctors. This full-time, hybrid position sits in PT Asuransi Central Asia, within Allianz Partners’ Indonesia team.

You’ll handle claim processing, document verification, and risk checks, while upholding integrity and confidentiality. The role offers structured training and growth opportunities.

Qualifications

• Diploma or higher; healthcare background advantageous.
• 1-2 years customer-focused experience; fresh grads welcome with relevant internships or projects.
• Proficient in Microsoft Office; willingness to learn claims management systems and data tools.
• Working knowledge of insurance policies, claims procedures, and regulations is a plus.
• Strong analytical and problem-solving skills; high accuracy and confidentiality.
• Clear written and verbal communication; able to work independently and in a team.
• Familiarity with AI-assisted tools or data platforms is an advantage.

Responsibilities

• Review and process medical claims per policy and regulations.
• Check, file, and verify claim documents and reports for completeness.
• Assess expenses and evidence; recommend approvals, rejections, or adjustments.
• Coordinate with hospitals/doctors to gather information for accurate resolution.
• Respond to client inquiries and collaborate with other departments for resolution.
• Identify potential fraud or discrepancies and work with Risk Management to mitigate risks.
• Implement and maintain quality control measures to support productivity.

Skills

Customer focus

Analytical skills

Communication

Integrity & confidentiality

Teamwork

Education

Diploma or higher

Tools

Microsoft Office

Claims management systems

Data tools

AI-assisted tools familiarity

Job description

Join Allianz Partners' Claims team in Jakarta as a full-time Claims Analyst specializing in Health Insurance - and build your career with one of the world's most trusted insurance brands. In this role, you'll manage health insurance claims end-to-end, liaising with hospitals and doctors to deliver fair, compliant outcomes while maintaining integrity and confidentiality. You'll work within a supportive, experienced team that follows global best practices, giving you structured training, proven tools, and real opportunities to grow. This is a full-time, hybrid position based in South Jakarta, with a 5-day working week.

This is a full-time, permanent role employed by PT Asuransi Central Asia, working dedicatedly within the Allianz Partners team (PT. AZP Services Indonesia) as part of our strategic business partnership.

What You’ll Do

• Review and process medical claims in accordance with policy, procedures, and applicable regulations
• Check, track, file, and verify the completeness of claim documents, records, and reports
• Assess medical expenses and evidence; recommend approvals, rejections, or adjustments based on medical and financial considerations
• Coordinate with hospitals, doctors, and related parties to gather the necessary information for accurate claim resolution
• Respond to client inquiries and collaborate with other departments for prompt and effective resolution
• Identify potential fraud or discrepancies and take appropriate action; collaborate with Risk Management to mitigate processing risks
• Implement and maintain quality control measures to support team productivity and service standards

What You’ll Bring

• Diploma or above in any field; a background in healthcare or a related field is an advantage
• 1-2 years of customer-focused experience (in a clinical, paramedical, TPA, or insurance setting) is preferred; fresh graduates with relevant internships or projects are welcome to apply
• Proficient in Microsoft Office; comfortable learning claims management systems and data tools
• Working knowledge of insurance policies, claims procedures, and regulations is a plus - a genuine willingness to learn is what matters most
• Strong analytical and problem-solving skills; high accuracy and attention to detail; commitment to integrity and confidentiality
• Clear written and verbal communication skills; able to work both independently and collaboratively within a team
• Familiarity with AI-assisted tools or data platforms (e.g., for claims triage, document processing, or reporting) is an advantage - or a willingness to develop these skills on the job

What We Offer

Working Arrangement

• 5-day working week, Monday to Friday
• Hybrid working model (combination of work-from-home and on-site at Mal Ambasador, South Jakarta)

Benefits

• BPJS Kesehatan (national health insurance coverage)
• BPJS Ketenagakerjaan (national employment insurance)
• Private Medical Insurance
• DPLK - Pension Fund Program
• Accident Insurance Outside of Working Hours (JSHK)
• THR (Tunjangan Hari Raya)
• Annual leave: 1 day granted per month upon permanent appointment, accumulating up to a maximum of 24 days

Who We Are

Allianz Partners is a world leader in B2B2C insurance and assistance, operating across 75 countries and serving millions of customers through travel, health, automotive, and lifestyle solutions. As part of Allianz Group - one of the world's most trusted insurance and asset management companies - Allianz Partners combines global expertise with local presence. In Indonesia, this role sits within the operations of PT Asuransi Central Asia, Allianz Partners' local employing entity, giving you the stability of a local employer with the career opportunities of a global brand. Caring for our employees, their ambitions, dreams, and challenges is what makes us a unique employer.
107946 | Customer Services & Claims | Professional | Allianz Partners | Full-Time | Permanent
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future - for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Join us. Let's care for tomorrow.