Medical Claim Analyst (Staff)

Our client is Worldwide Insurance company , one of the world's largest insurance company, which operates in Indonesia with a focus on providing financial solutions and asset management and health protection. They operates several business entities.
Our client has more than 600 employees and about 9,000 professional sales force to serve more than 700,000 customers. Throughout 2010, recorded a total premium of Rp 4.13 trillion and total assets of over Rp 10 trillion.

Job Responsibilities :

• Responsible to manage claims proactively
• Responsible to verify and validate medical and insurance claims submitted
• Responsible to review billing information for corectness and completeness claim
• Responsible to identifies inaccuracies of paid claims and works with third-party billers tand to resolve claim paid in error
• Responsible to carry out claim investigations to determine liability, causation and exposure share

Job Requirements :

• Candidate must possess at least Bachelor Degree, will be preferable in Nursing, Pharmacy / Pharmacology or equivalent
• At least 2 year experience in similar position in insurance industry
• Excellent in communication skills
• Able to work Underpressure
• Good Teamwork player
• Pay attention to details