Department Head Claim Health

MEDITAP; Tangerang; On-site; IDR 300.000.000 - 400.000.000; Full time

Job summary

A leading health technology company in Indonesia is seeking a Department Head – Claim Health to lead the claims team, ensuring operational excellence and compliance. Key responsibilities include overseeing claim processes, driving workflow improvements, and preparing reports. Candidates should have at least 7 years of experience in healthcare, strong leadership skills, and a Bachelor’s Degree in Medicine. This role offers a collaborative environment and opportunities for continuous professional development.

Benefits

Collaborative work environment

Continuous learning opportunities

Qualifications

• Minimum 7 years of experience in healthcare, health insurance, or medical claims.
• Strong clinical understanding for evaluating medical claims.
• Proven experience in leading high-performing teams.

Responsibilities

• Lead and inspire the Claim Health team for operational excellence.
• Oversee health claim processes to ensure accuracy and compliance.
• Drive improvements in workflow and service quality.
• Prepare accurate claim reports for stakeholders.
• Work with departments to enhance synergy.

Skills

Leadership skills

Analytical skills

Communication skills

Strategic planning

Education

Bachelor’s Degree in Medicine (MD or equivalent)

Job description

Are you a medical professional with strong leadership skills and a passion for transforming healthcare claim services?
We are looking for a Department Head – Claim Health who can drive excellence, improve processes, and ensure high-quality service for our customers and partners.

Join us and be part of a company that values innovation, collaboration, and continuous growth.

Key Profile We Are Looking For

A Bachelor’s Degree in Medicine (MD or equivalent) with an active medical license (STR).

At least 7 years of experience in healthcare, health insurance, medical claims, or related fields (including brokers or TPAs).

Strong clinical understanding and the ability to evaluate medical claims with accuracy and professionalism.

Excellent analytical skills to interpret data, identify trends, and validate claim information.

Confident communicator who can collaborate with internal teams, service providers, and external partners.

Proven experience leading and developing high-performing teams.

Strong knowledge of healthcare regulations, legal standards, ISO, data privacy (PDP), and confidentiality requirements.

Strategic mindset with solid planning, coordination, and operational management capabilities.

How You Will Contribute

Lead and inspire the Claim Health team to achieve operational excellence.

Oversee end-to-end health claim processes to ensure accuracy, compliance, and timely resolution.

Drive improvements in workflow, service quality, and customer satisfaction.

Prepare accurate claim reports for both internal and external stakeholders.

Work closely with cross-functional departments to enhance synergy and deliver integrated solutions.

Ensure compliance with all healthcare regulations, audit standards, and internal company policies.

Support talent growth through performance coaching, skill development, and regular evaluations.

Provide approval and authorization of claims based on company policies and authorization levels.

Why Join Us?

• Opportunity to shape and elevate the health claims function
• Collaborative and supportive work environment
• A role that directly influences service quality and customer experience
• Continuous learning and professional development opportunities

If you’re ready to make an impact and lead with purpose, we’d love to hear from you.

Disclaimer: Your personal data will be stored and protected in accordance with the applicable laws and regulations, including Law No. 27 of 2022 on Personal Data Protection (PDP Law), as well as Meditap’s internal policies on information security and data protection.

Meditap was established back in 2015 to address the need of best in class health administration services in Indonesia. With years of proven experience and operates by passionate professionals, we strive to provide the best services toward our partners and users.

Vision: To become the most customer centric, most preferred and largest health and wellness technology company in Indonesia. Where customer experience really matters.

Mission: Strive continuously to offer the most seamless experience on health and wellness through an integrated technology system.

www.meditap.id