Claims Analyst (Health Insurance) - Jakarta

Allianz Partners; Setiabudi; Hybrid; IDR 89,280,000 - 133,920,000; Full time

Benefits offered by this job

Private Medical Insurance

Pension Fund Program

Accident Insurance Outside of Working

Annual leave 24 days

Job summary

Allianz Partners in Jakarta is seeking a Claims Analyst (Health Insurance) to manage medical claims end-to-end. You ll liaise with hospitals and doctors, assess expenses, and ensure compliant outcomes while maintaining confidentiality. This is a full-time, hybrid role based in South Jakarta, within PT Asuransi Central Asia.

You ll work in a team applying global best practices, with structured training and tools to support growth. Fresh graduates are welcome to apply.

Qualifications

• Diploma or higher; healthcare background is a plus.
• 1-2 years customer-focused experience in clinical/insurance settings preferred; fresh grads welcome.
• Proficient in MS Office and able to learn claims management systems.
• Knowledge of insurance policies and claims procedures is a plus; willingness to learn.
• Strong analytical, accuracy, and confidentiality.

Responsibilities

• Review and process medical claims end-to-end.
• Verify claim documents and data.
• Assess expenses and approve/reject adjustments.
• Coordinate with hospitals/doctors for information.
• Respond to client inquiries and collaborate with departments.
• Identify potential fraud and assist risk management.
• Support quality control and productivity.

Skills

Analytical skills

Attention to detail

Communication skills

Integrity & confidentiality

Microsoft Office

Willingness to learn

Teamwork

Education

Diploma or above in any field

Job description

Claims Analyst (Health Insurance) - Jakarta

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 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)

Private Medical Insurance

DPLK — Pension Fund Program

Accident Insurance Outside of Working Hours (JSHK)

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.

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.