Policy Validation Coordinator

PT. PRIMA SARANA JASA; Jakarta Selatan; On-site; IDR 66,960,000 - 111,600,000; Full time

Benefits offered by this job

Medical

Miscellaneous allowance

Dental

THR

Bonus Performance

BPJS Kesehatan

Pensiun

Job summary

Global Excel in Indonesia (PT Prima Sarana Jasa) is seeking a detail-oriented reviewer to assess policy documents and claims. You will verify coverage, coordinate with departments, and ensure accurate validation of requests.

Ideal candidates have a Bachelor’s degree, strong English, and proven organizational skills to handle high daily workload while delivering precise results.

Qualifications

• Bachelor’s degree or equivalent from all majors.
• Proficiency in written & spoken English.
• Able to adapt quickly in a fast-paced environment and manage high volume of daily updates and workload with consistency and focus.
• Proven ability to manage tasks efficiently with excellent organizational, administrative, and time management skills.
• Skilled in processing, organizing, and maintaining critical documentation with high attention to detail.
• Strong analytical mindset with a proactive approach to identifying issues and implementing effective solutions.

Responsibilities

• Review and assess policy documents and claim information to ensure they meet required coverage.
• Executing tasks requested by other departments that mention a policy, and validating whether the policy coverage aligns with the requested action.
• Use critical thinking and attention to detail to evaluate information and support accurate validation of claims.
• Coordinate with relevant departments to clarify missing information on claim processing.
• Demonstrate strong organizational skills and a proactive attitude to manage tasks efficiently and contribute to team goals.

Skills

Policy review

Claim validation

Attention to detail

English proficiency

Organizational skills

Communication

Education

Bachelor’s degree

Job description

Review and assess policy documents and claim information to ensure they meet required coverage

Executing tasks requested by other departments that mention a policy, and validating whether the policy coverage aligns with the requested action

Use critical thinking and attention to detail to evaluate information and support accurate validation of claims

Coordinate with relevant departments to clarify missing information on claim processing

Demonstrate strong organizational skills and a proactive attitude to manage tasks efficiently and contribute to team goals

Qualifications

• Bachelor’s degree or equivalent from all majors
• Proficiency in written & spoken English
• Able to adapt quickly in a fast-paced environment and manage high volume of daily updates and workload with consistency and focus
• Proven ability to manage tasks efficiently with excellent organizational, administrative, and time management skills.
• Skilled in processing, organizing, and maintaining critical documentation with high attention to detail.
• Strong analytical mindset with a proactive approach to identifying issues and implementing effective solutions

Perks and benefits

• Medical
• Miscellaneous allowance
• Dental
• THR
• Bonus Performance
• BPJS Kesehatan
• Pensiun

Unlock job insights

Hirer responsiveness Salary match Number of applicants

Business Support Services 101-1,000 employees

Global Excel in Indonesia (PT Prima Sarana Jasa) is a third-party administrator (TPA) with over 2 decades of experience in the Indonesian healthcare market.

Global Excel provides payers with a consultative approach to cost-effective, quality care programs through a single partnership. We deliver seamlessly tailored solutions 24/7 through our customer service and medical professionals by providing access to our network of certified healthcare facilities, ensuring highly effective cost containment.

At Global Excel, we’re aiming to transform and simplify access to quality healthcare. We strive to exceed customer expectations in everything we do.

Global Excel in Indonesia (PT Prima Sarana Jasa) is a third-party administrator (TPA) with over 2 decades of experience in the Indonesian healthcare market.

Global Excel provides payers with a consultative approach to cost-effective, quality care programs through a single partnership. We deliver seamlessly tailored solutions 24/7 through our customer service and medical professionals by providing access to our network of certified healthcare facilities, ensuring highly effective cost containment.

At Global Excel, we’re aiming to transform and simplify access to quality healthcare. We strive to exceed customer expectations in everything we do.