Jakarta: Senior Medical Claims Analytics Manager

PT Apex Nusantara Indo; Jakarta Selatan; On-site; IDR 180,000,000 - 300,000,000; Full time

Job summary

PT Apex Nusantara Indo is seeking a Claim Analyst Assistant Manager for our Jakarta Office. The role requires experience in technical claims handling, strong analytical skills, and meticulous attention to detail to verify medical procedures and analyze claims based on evidence.

You will coordinate with internal and external stakeholders to gather information, ensure accuracy, and deliver high-quality claims services in regulatory-compliant workflows.

Qualifications

• Have experience in technical claims handling.
• Analytical approach, diligent and accurate working style.
• Flair for numbers and excellent attention to detail.
• Verify necessity and appropriateness of medical procedures, treatments, medication, and interventions based on the presented medical evidence.
• Evaluate and analyze medical claims submitted by policyholders to ascertain their legitimacy and precision.
• Handle comprehensive reports, reviews, projects, system testing on claim investigations, including medical findings, for internal use and regulatory compliance.

Skills

Claims handling

Analytical skills

Attention to detail

Numerical aptitude

Medical evidence review

Medical claims analysis

Regulatory compliance

Stakeholder communication

Report writing

Job description

PT Apex Nusantara Indo is seeking a Claim Analyst Assistant Manager for our Jakarta Office. The role requires experience in technical claims handling, strong analytical skills, and meticulous attention to detail to verify medical procedures and analyze claims based on evidence.

You will coordinate with internal and external stakeholders to gather information, ensure accuracy, and deliver high-quality claims services in regulatory-compliant workflows.