Lowongan Claim Analyst, Claim Assessor & Medical Advisor - Global Asistensi Manajemen Indonesia, Pt

GLOBAL ASISTENSI MANAJEMEN INDONESIA, PT

Job Vacancy

Our Company provides Third Party Administration Services to insurance companies (both local and offshore) and we provide Administration & Risk Management services to companies who may have decided not to insure all or part of their employee health benefit programs.

Our clients are both local and international and include many large insurance companies. Our focus is on Maximizing Service to participants while Minimizing Risk for clients. Are you good enough to join us? Do you have what it takes to exceed expectations?

Claim Analyst, Claim Assessor & Medical Advisor

Claim Analyst & Claim Assessor :

Responsibilities will include :

Analyze Claim from Provider or Clients

Ensure Benefit Payments are Correctly Made

Monitoring hospitalized patients from a distance

To meet the requirements of this position you must :

Be Minimum Associate Degree (D-3) Major in Pharmacist or Nurse

Have Good Analytical Skills

Be Familiar with Office Application

Have Experience in Health Insurance is Preferred

Be a High Motivated Person and Willing to work in Shift

Be able to Work Independently as well as in a Team

Medical Advisor :

Responsibilities will include :

To pro actively work with treating doctors and patients to ensure patients are being diagnosed correctly and are receiving appropriate treatments in a timely manner.

To pro actively work with our Patient Treatment Plans team and Case Management teams to ensure patients with chronic illnesses are educated about their condition and are managing their condition.   

To assist any participants unsure of where to obtain appropriate treatment.    

To regularly review Risk Review Reports on the client you are tasked with managing, to identify possible areas for better management.   

Admin all the medical advisor work and cooperate with the other team in the department.

To meet the requirements of this position you must :

Medical background (doctor) , experience in implementing medical knowledge, able to make instant decision, broad knowledge of medical issue, proactive.