Corporate Medical Liaison & Insurance Claims Lead

Siloam Hospitals Group (Tbk); Manado; On-site; IDR 600,000,000 - 900,000,000; Full time

Job summary

Siloam Hospitals Group (Tbk) is seeking a Corporate & Insurance Doctor to bridge clinical services with insurance management and corporate healthcare partnerships. The role emphasizes patient safety, service compliance, and strong relationships with insurance payers and corporate clients.

You will collaborate with clinicians, manage insured services, negotiate claims, and ensure accurate medical documentation across outpatient and inpatient settings in a corporate–hospital hybrid environment.

Qualifications

• Active STR and valid SIP (or willing to process SIP)
• 3–5 years of clinical experience, preferably in a hospital setting
• Experience or exposure in insurance, corporate accounts, medical assurance, or managed care
• Strong understanding of health insurance processes and medical claims
• Ability to collaborate with clinicians, admin teams, and insurance partners
• Capable of handling claim negotiations from a medical perspective
• Detail-oriented with clear communication in multidisciplinary forums

Responsibilities

• Collaborate with clinicians to manage insured and corporate-guaranteed patient services
• Ensure alignment between clinical services and insurance or corporate agreements
• Provide medical support in socialization and implementation of updated regulations to clinicians and admin teams
• Handle and negotiate problematic insurance claims with payers from a medical perspective
• Identify and resolve patient safety or hospital reputation risks
• Conduct data analysis and escalate key issues with the Head of AMA
• Prepare Initial Medical Reports (LMA) and Follow-Up Medical Reports (LML) for discharged patients
• Ensure completeness of insurance documentation for outpatient and inpatient services
• Support validation of medical documents, including diagnostics and procedures
• Assist in documentation readiness for care transitions from Outpatient to Pre-Operative Clinic (POC)

Skills

MD / Dr.

STR

Insurance knowledge

Education

MD degree

Job description

Siloam Hospitals Group (Tbk) is seeking a Corporate & Insurance Doctor to bridge clinical services with insurance management and corporate healthcare partnerships. The role emphasizes patient safety, service compliance, and strong relationships with insurance payers and corporate clients.

You will collaborate with clinicians, manage insured services, negotiate claims, and ensure accurate medical documentation across outpatient and inpatient settings in a corporate–hospital hybrid environment.