Health Insurance Claims Analyst: AI-Driven & Detail-Oriented

Rey.id; Jakarta Pusat; On-site; IDR 66,960,000 - 100,440,000; Full time

Job summary

Rey.id is seeking a claim analyst to review and verify health insurance claim documents and validate AI-driven analyses. You will identify discrepancies, ensure SOP/SLA adherence, and prepare comprehensive claim reports while maintaining strict data confidentiality.

The role requires 2+ years in health insurance and strong attention to detail. Ideal candidates adapt quickly to AI-assisted systems, communicate clearly with internal teams, and work independently as well as collaboratively within a

Qualifications

• Minimum Diploma/Bachelor's degree in Nursing, Midwifery, Public Health, or related medical background.
• Minimum 2 years of experience in a Health Insurance company.
• Strong analytical thinking and problem-solving skills.
• Detail-oriented with high accuracy in handling data and documents.
• Familiar with claim verification and healthcare documentation.
• Adaptable, quick learner, and comfortable working with technology/AI-assisted systems.
• Proactive, initiative-driven, and able to work independently as well as collaboratively.
• Good communication skills in handling internal coordination and member inquiries.

Responsibilities

• Review and verify claim documents for completeness and accuracy.
• Validate AI-generated claim analysis results with supporting documents.
• Identify discrepancies, incomplete documents, or potential fraud cases.
• Ensure claim processing complies with SOP and SLA.
• Prepare and maintain claim reports and documentation.
• Provide accurate claim-related information and support member inquiries.
• Maintain confidentiality of member data and personal information.

Skills

Analytical thinking

Problem-solving

Attention to detail

Communication skills

Adaptability

Fast learner

Independence

Education

Diploma/Bachelor in Nursing/Health fields

Tools

AI-assisted systems

Job description

Rey.id is seeking a claim analyst to review and verify health insurance claim documents and validate AI-driven analyses. You will identify discrepancies, ensure SOP/SLA adherence, and prepare comprehensive claim reports while maintaining strict data confidentiality.

The role requires 2+ years in health insurance and strong attention to detail. Ideal candidates adapt quickly to AI-assisted systems, communicate clearly with internal teams, and work independently as well as collaboratively within a