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Eka Hospital Group seeks a Head of Insurance & Corporate Administration to lead all aspects of insurance claims, policy development, and corporate administration across its network. You will ensure timely claims resolution, manage vendor relationships, and drive compliance with industry regulations.
The role requires MD qualification and 10–15 years in claims management within healthcare. You will guide a multidisciplinary team to optimize processes and reporting while staying current with
Oversee the complete insurance claims management process, including verification, assessment, and processing of claims from various insurance providers
Develop and implement insurance policies, procedures, and protocols that comply with industry regulations and best practices
Manage relationships with insurance companies, brokers, and corporate clients to ensure optimal coverage and timely claims resolution
Coordinate the insurance and corporate administration team, providing guidance, and performance management
Monitor insurance claim trends, identify discrepancies, and implement process improvements to enhance efficiency and accuracy
Ensure all claims documentation is accurate, complete, and filed in accordance with regulatory requirements
Liaise with hospital departments to gather necessary information for claims processing and resolution
Maintain comprehensive records and generate regular reports on claims performance, insurance statistics, and administrative metrics
Stay current with changes in insurance regulations, healthcare policies, and industry standards to ensure compliance
Qualifications:
Must hold a Medical Doctor (MD) degree
Minimum 10-15 years of experience in insurance claims management, preferably within the healthcare or hospital sector
Comprehensive knowledge of insurance claim processes, documentation requirements, and regulatory compliance standards
Strong understanding of corporate administration, contract management, and business operations
Demonstrated leadership experience with the ability to manage and develop a team effectively
Excellent analytical and problem-solving skills with attention to detail and accuracy
Knowledge of the …
Eka Hospital HQ
Eka Hospital BSD
Eka Hospital Cibubur
Eka Hospital Bekasi
Eka Hospital PIK
Eka Hospital Depok
Eka Hospital MT Haryono
Eka Hospital Cilegon