Claims Quality Assurance Specialist - Outsource

PT Asuransi Allianz Life Indonesia; Jakarta Selatan; On-site; IDR 120,000,000 - 180,000,000; Full time

Job summary

PT Asuransi Allianz Life Indonesia is hiring a Quality Control Claim - Outsource to join our Claims department in Jakarta Selatan. You will ensure claim processing meets quality standards and regulatory requirements, audit outsourced activities, and train vendors.

The role emphasizes collaboration with internal and external stakeholders, documentation accuracy, and continuous improvement across the claims lifecycle.

Qualifications

• Minimum 3–5 years in insurance claims or QC.
• Proficient with claims management systems and MS Office.
• Knowledge of insurance products, procedures, and regulatory compliance.
• Strong analytic and attention-to-detail skills.
• Excellent communication with internal and external stakeholders.
• Indonesian and English fluency.
• Outsourcing/vendor coordination experience is a plus.

Responsibilities

• Reviewing and auditing claim files to ensure accuracy and compliance.
• Verifying documentation is complete before settlement.
• Identifying discrepancies and reporting findings to management.
• Quality assessments on outsourced claim processing activities.
• Developing corrective action plans for quality issues.
• Monitoring KPIs and preparing quality control reports.
• Liaising with claims handlers and external partners for improvements.
• Ensuring compliance with regulations and internal audits.
• Training outsourced team members on standards.

Skills

Claims processing

Quality control

Vendor coordination

Microsoft Office

Analytical skills

Bilingual Indonesian-English

Tools

Claims management system

Microsoft Office Suite

Job description

PT Asuransi Allianz Life Indonesia is hiring a Quality Control Claim - Outsource to join our Claims department in Jakarta Selatan. You will ensure claim processing meets quality standards and regulatory requirements, audit outsourced activities, and train vendors.

The role emphasizes collaboration with internal and external stakeholders, documentation accuracy, and continuous improvement across the claims lifecycle.