Deskripsi pekerjaan
Posisi ini bertanggung jawab untuk mengawasi operasional asuransi dan administrasi korporat di organisasi kesehatan yang progresif. Anda akan memimpin departemen dalam mengelola klaim asuransi, memastikan kepatuhan regulasi, serta mengelola hubungan strategis dengan berbagai pihak terkait untuk mendukung kelancaran operasional bisnis.
Tanggung jawab: Oversee the complete insurance claims management process, including verification, assessment, and processing of claims from various insurance providers; Develop and implement insurance policies, procedures, and protocols that comply with industry regulations and best practices; Manage relationships with insurance companies, brokers, and corporate clients to ensure optimal coverage and timely claims resolution; Coordinate the insurance and corporate administration team, providing guidance, and performance management; Monitor insurance claim trends, identify discrepancies, and implement process improvements to enhance efficiency and accuracy; Ensure all claims documentation is accurate, complete, and filed in accordance with regulatory requirements; Liaise with hospital departments to gather necessary information for claims processing and resolution; Maintain comprehensive records and generate regular reports on claims performance, insurance statistics, and administrative metrics; Stay current with changes in insurance regulations, healthcare policies, and industry standards to ensure compliance.
Kualifikasi: Must hold a Medical Doctor (MD) degree; Minimum 10-15 years of experience in insurance claims management, preferably within the healthcare or hospital sector; Comprehensive knowledge of insurance claim processes, documentation requirements, and regulatory compliance standards; Strong understanding of corporate administration, contract management, and business operations; Demonstrated leadership experience with the ability to manage and develop a team effectively; Excellent analytical and problem-solving skills with attention to detail and accuracy; Knowledge of Indonesian healthcare regulations and insurance industry standards is preferred.
Tanggung jawab
- Oversee the complete insurance claims management process, including verification, assessment, and processing of claims from various insurance providers
- Develop and implement insurance policies, procedures, and protocols that comply with industry regulations and best practices
- Manage relationships with insurance companies, brokers, and corporate clients to ensure optimal coverage and timely claims resolution
- Coordinate the insurance and corporate administration team, providing guidance, and performance management
- Monitor insurance claim trends, identify discrepancies, and implement process improvements to enhance efficiency and accuracy
- Ensure all claims documentation is accurate, complete, and filed in accordance with regulatory requirements
- Liaise with hospital departments to gather necessary information for claims processing and resolution
- Maintain comprehensive records and generate regular reports on claims performance, insurance statistics, and administrative metrics
- Stay current with changes in insurance regulations, healthcare policies, and industry standards to ensure compliance
Kualifikasi
- Must hold a Medical Doctor (MD) degree
- Minimum 10-15 years of experience in insurance claims management, preferably within the healthcare or hospital sector
- Comprehensive knowledge of insurance claim processes, documentation requirements, and regulatory compliance standards
- Strong understanding of corporate administration, contract management, and business operations
- Demonstrated leadership experience with the ability to manage and develop a team effectively
- Excellent analytical and problem-solving skills with attention to detail and accuracy
- Knowledge of Indonesian healthcare regulations and insurance industry standards is preferred
Informasi lowongan
- Tipe pekerjaan
- Full-time
- Gaji
- Negosiasi
- Batas lamaran
- 20 November 2026