Senior Medical Claims Lead

PT Teknologi Pamadya Analitika; Tangerang; On-site; IDR 167,400 - 279,000; Full time

Job summary

PT Teknologi Pamadya Analitika in Tangerang, Indonesia is looking for a Medical Doctor (General Practitioner) to lead claim management efforts. You will conduct analysis and ensure effective coordination of health-related claims within our team.

Ideal candidates should have a valid professional license, at least 1 year of relevant experience, and strong knowledge of medical terminology and healthcare procedures. Excellent communication skills are essential.

Qualifications

• Valid professional license (STR) required.
• Minimum 1 year experience in healthcare, insurance, TPA, or hospital claim management.
• Proven ability to analyze medical claims.

Responsibilities

• Conduct analysis and decision-making on claim submissions.
• Review and approve claim submissions.
• Provide medical input for consultations related to claims.
• Supervise team in interactions with departments and clients.

Skills

Medical terminology

Healthcare procedures

Claim adjudication processes

Leadership

Team management

Communication

Microsoft Office/Google Workspace

Education

Medical Doctor (General Practitioner)

Tools

Microsoft Excel

Google Sheets

Job description

PT Teknologi Pamadya Analitika in Tangerang, Indonesia is looking for a Medical Doctor (General Practitioner) to lead claim management efforts. You will conduct analysis and ensure effective coordination of health-related claims within our team.

Ideal candidates should have a valid professional license, at least 1 year of relevant experience, and strong knowledge of medical terminology and healthcare procedures. Excellent communication skills are essential.