Insurance Claim Officer - Digital Insurance

Cermati; Jakarta Pusat; On-site; IDR 66,960,000 - 111,600,000; Full time

Job summary

Cermati in Jakarta is seeking an Insurance Claims Handler to manage recoupment, reconciliation, and claims adjudication with providers and members by phone and email.

Ideal candidates have 2+ years of insurance claims experience, strong knowledge of claim procedures, and excellent analytical and communication skills. The role emphasizes accuracy, productivity, and daily reporting.

Qualifications

• Bachelor Degree from any field.
• Minimum 2 years experience handling insurance claims in broker insurance company.
• Experience in managing e-commerce insurance inquiries.
• Excellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products.
• Computer literate and proficient in using Microsoft Office.
• Detail oriented.
• Good analysis and communication skill.

Responsibilities

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

Skills

Communication

Analytical thinking

Detail-oriented

Customer service

Education

Bachelor 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 product by bringing everything online so people can shop around for financial products online and can apply online without having to physically visit a bank.

Cermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial product 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 hailed from Silicon Valley Tech companies such as Google, Microsoft, LinkedIn and Sofi as well as Indonesian startups such as Doku, 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 claim and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudication
• Performed insurance claims assessment according to the actual situation
• Review the approved claims to ensure the accuracy and made an adjustment as necessary
• Generate daily claim process and all related document from the system and preparing claims documents to be sent to the payer
• Investigate claims through liaison parties to determine the eligibility of the claims
• Complete all daily call log and daily claim log
• Prepare claim report on a regular basis
• Accountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division

Qualifications

• Bachelor Degree from any field
• Minimum 2 years experience on handling insurance claims in broker insurance company
• Having experience in managing e-commerce insurance inquiries
• Excellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products
• Computer literate and proficient in using Microsoft office
• Detail oriented
• Good analysis and communication skill