Health Claims Officer - Medical Insurance Processing

Join Pamadya Analytica Technology as a Health Claims Officer and play a pivotal role in ensuring seamless, accurate, and timely processing of medical insurance claims. In this dynamic position, you will collaborate with a high-performing team to deliver exceptional service to our clients and ensure the smooth operation of our medical insurance processing system. Located in Karawaci, Banten, you will be part of a growing company that values innovation and excellence.

As a Health Claims Officer, you will be responsible for managing and processing medical insurance claims, verifying the accuracy of submitted claims, and resolving any discrepancies or issues that arise. You will work closely with our team of analysts and support staff to ensure that claims are processed efficiently and in accordance with industry regulations. This role offers a unique opportunity to contribute to the success of our medical insurance processing system and to grow your career in a supportive and dynamic environment.

📋 Tanggung Jawab Pekerjaan

• Manage and process medical insurance claims using our proprietary system, ensuring accuracy and compliance with industry regulations.
• Verify the accuracy of submitted claims by reviewing medical records, treatment plans, and other relevant documentation.
• Resolve any discrepancies or issues that arise during the claims processing, working closely with our team of analysts and support staff.
• Collaborate with our clients to provide exceptional service and ensure their satisfaction with our medical insurance processing services.
• Maintain and update our medical insurance processing system, ensuring its smooth operation and efficiency.
• Stay up-to-date with industry trends and regulations, and ensure that our medical insurance processing system is compliant with all relevant laws and standards.
• Provide training and support to our team of analysts and support staff, helping them to develop their skills and knowledge.
• Participate in team meetings and contribute to the development of our medical insurance processing system, ensuring its continued success and growth.

🎓 Kualifikasi & Syarat

• Bachelor's degree in a relevant field, such as Business Administration, Healthcare Management, or a related discipline.
• Minimum of 3 years of experience in a similar role, preferably in the medical insurance industry.
• Strong knowledge of medical insurance claims processing, including familiarity with industry regulations and standards.
• Excellent communication and interpersonal skills, with the ability to work effectively with a diverse team.
• Proficient in using our proprietary medical insurance processing system and other relevant software, such as Microsoft Office.
• Ability to work under pressure and meet tight deadlines, with a strong attention to detail and accuracy.
• Strong problem-solving skills, with the ability to identify and resolve issues efficiently and effectively.
• Fluency in both English and Indonesian languages, with the ability to communicate effectively with clients and team members.

🛠️ Keahlian

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