Minor Claim Analyst

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

• Ensure End to End claim process have good quality and valid as our policy provision
• Monitoring performance reimburse process internal by create solution to minimize repetitive error or any delayed process
• Make sure efficiency & effectiveness of pending claim in team
• Minimize complaint and increase customer satisfaction
• Cooperate with Underwriting Dept related cases with PEC / NDC that’s found at Internal claim process
• Cooperate with distribution channel team related claim
• Cooperated with other Department related such as Legal Dept, POS, etc that’s found at internal claim process
• Involved as a member of product development team to ensure the benefit in the policy provision can be implemented in the claim process
• Maintain and ensure SLA process achieved
• Reviewing and approve Decline letter before send to distribution channel or Client by Admin claim
• Approve letter of request for claim document to some hospitals (such as RSPAD)
• Providing Chronology and response letter for appeal claim
• Reviewing claim before sign for investigation
• First Level decision maker for claim process related blacklist claim (member or provider), Technical Borderline and Ex-gratia before escalating to higher level
• Medical Advisor for Claim team

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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