Insurance Claim Officer - Digital Insurance

Cermati.com; Daerah Khusus Ibukota Jakarta; On-site; IDR 50,000,000 - 90,000,000; Full time

Job summary

An innovative fintech startup is seeking a detail-oriented insurance claims handler to join their dynamic team. This role involves managing insurance recoupment, ensuring accuracy in claims processing, and communicating effectively with providers and members. With a strong emphasis on transparency and meritocracy, the company is dedicated to building a world-class financial technology platform in Indonesia. If you're passionate about insurance and eager to contribute to a forward-thinking team, this opportunity is perfect for you.

Qualifications

• 1-2 years of experience in insurance claims handling.
• Excellent knowledge of insurance policies and claims procedures.

Responsibilities

• Handle insurance recoupment and reconciliation works.
• Review approved claims for accuracy and make necessary adjustments.

Skills

Analytical Skills

Communication Skills

Detail-oriented

Education

Bachelor's Degree

Tools

Microsoft Office

Job description

Company Description

Cermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial products by bringing everything online so people can shop around for financial products online and can apply online without having to physically visit a bank.

Our team hails from Silicon Valley tech companies such as Google, Microsoft, LinkedIn, and Sofi, as well as Indonesian startups such as Doku and Touchten. We have graduates from well-known universities such as Universitas Indonesia, ITB, Stanford, University of Washington, Cornell, and many others. We are building a company with the same culture of openness, transparency, drive, and meritocracy as Silicon Valley companies. Join us in our cause to build a world-class fintech company in Indonesia.

Job Description

• Handle insurance recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanation.
• Follow up on manual claims and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudication.
• Perform insurance claims assessment according to the actual situation.
• Review the approved claims to ensure accuracy and make adjustments as necessary.
• Generate daily claim processes and all related documents from the system and prepare claims documents to be sent to the payer.
• Investigate claims through liaison parties to determine the eligibility of the claims.
• Complete all daily call logs and daily claim logs.
• Prepare claim reports on a regular basis.
• Accountable for daily operations to meet productivity or service standards as defined by management in line with department and/or division.

Qualifications

• Minimum 1-2 years experience handling insurance claims in a broker insurance company.
• Experience in managing e-commerce insurance inquiries.
• Excellent knowledge of insurance policy and claim procedures, preferably handling shipping, travel, gadget, or retail insurance products.
• Computer literate and proficient in using Microsoft Office.
• Detail-oriented.
• Good analysis and communication skills.