Claims Executive

Glints; Batam; On-site; IDR 100.000.000 - 200.000.000; Full time

Job summary

A health insurance provider is seeking a Claims Assessor to review and process travel claims in Batam. The role requires a degree, preferably 1-3 years in insurance claims, and proficiency in MS Office. Responsibilities include reviewing claims, ensuring accuracy, and communicating with customers. Strong analytical and communication skills are essential, as is the ability to work collaboratively in a fast-paced environment. This position offers the chance to make a meaningful impact in a customer-focused culture.

Qualifications

• Degree in any discipline; insurance qualification is advantageous.
• 1 to 3 years of experience in travel or personal lines insurance claims preferred.
• Basic understanding of insurance concepts and claims processes.

Responsibilities

• Review and assess travel claims within assigned authority limits.
• Communicate with customers to clarify claims details and provide updates.
• Ensure claims are managed in compliance with regulatory requirements.

Skills

Analytical skills

Communication skills (English)

MS Office proficiency

Time management

Attention to detail

Team player

Education

Degree in any discipline

Tools

Digital claims systems

Job description

Company Overview

A health insurance business that serves approximately 34 million customers across 10 markets.

Working Location

WFO, Batam.

Qualifications / Experience

• Degree in any discipline (insurance qualification is advantageous).
• Preferably, 1 to 3 years of experience in travel or personal lines insurance claims; fresh graduates can be considered.
• Basic understanding of insurance concepts and claims processes is preferred.
• Proficient in MS Office application and comfortable using digital claims systems.
• Good analytical and attention to details and accuracy.
• Customer-focused mindset with good communication skills (written & spoken English).
• Time management: able to adapt to a fast-paced environment and ability to manage and prioritize workload.
• Team player with a positive attitude and willingness to learn.

Key Accountabilities

Claims Assessment & Processing

• Review and assess travel claims within assigned authority limits and in accordance with policy terms and service turnaround time.
• Verify claim documentation and ensure completeness and accuracy.
• Conduct regular claim file review.
• Review and update adequate claims reserves timely.
• Identify potential claims irregularities or inconsistencies and elevate where required.
• Prepare clear claim assessment notes and recommendations for senior assessors or managers.

Customer Service & Communication

• Communicate with customers professionally to request missing information, clarify claims details, provide claim updates and explain claim outcome.
• Provide claim advice and address claims inquiries within the service turnaround time and uphold the company’s customer‑oriented service culture.

Compliance & Risk Management

• Ensure claims are managed in compliance with regulatory requirements and internal policies.
• Maintain proper documentation and filing of claim records in the system.
• Support fraud detection activities by flagging suspicious claims.

Team Collaboration

• Work closely with senior assessors and/or manager for guidance on handling complex claims cases.
• Prompt handling of the tasks rendered when assigned any other ad‑hoc project/task.