Lowongan Kerja Karawaci Posisi Claim Health Senior Officer di MEDITAP

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Perusahaan	MEDITAP
Posisi	Claim Health Senior Officer
Tempat	Karawaci
Jenis Pekerjaan	Full Time
Spesialisasi Dibutuhkan	Dokter Umum (Kesehatan & Medis)
Gaji Min	Rp. 2.000.000
Gaji Max	Rp. 8.500.000

Requirements:

• Medical Doctor (General Practitioner) with a valid professional license (STR).

• Minimum 1 year of experience in healthcare, insurance, TPA, or hospital claim management.

• Strong knowledge of medical terminology, healthcare procedures, and claim adjudication processes.

• Familiar with healthcare regulations and insurance policies.

• Proven ability to analyze medical claims and provide appropriate medical recommendations.

• Strong leadership and team management skills, with experience supervising staff.

• Good communication and coordination skills across teams and external stakeholders.

• Proficient in Microsoft Office/Google Workspace, especially Excel/Sheets, for reporting and analysis.

• Experience in handling sensitive and confidential information with high integrity and professionalism.

Key Responsibilities:

• Conduct analysis and decision-making on claim submissions in accordance with applicable guidelines and authority levels.

• Review, approve, and ensure claim submissions and follow-up processes are carried out accurately and on time by the supervised team, while maintaining coordination with all relevant stakeholders.

• Provide medical input, recommendations, or solutions for consultations and special medical cases related to claims, within the applicable authority.

• Review and verify coordination of Benefit (COB) letters prepared by claim input staff.

• Implement departmental work programs in coordination with superiors and the supervised team.

• Coordinate and supervise the team within the scope of authority in interactions with related departments and clients/customers to ensure effective service delivery.

Disclaimer:

Meditap ensures that your personal data is stored and protected in accordance with applicable regulations, including Law No. 27 of 2022 on Personal Data Protection (PDP), as well as Meditap’s internal policies regarding information security and data protection. If you wish to request the deletion of your personal data, please contact us via email at [email protected]

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