Claim Analyst (Medical Doctor)
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Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
Responsibilities:
- Analyze hospitalization and non-hospitalization claim based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed
- Calculating the hospitalization claim based on the provision policy and benefit plan of the insured.
- Improvement of product and system knowledge
- Do proper claim process analysis based on the claim’s guideline and policy provision
- Addressing medical inquiries and questions from agents
- Maintain and improvement service standard
- Handling complaint and error monitoring
Requirements:
- Have a Medical Doctor degree with minimal 3.00 GPA
- Have sufficient communication and interpersonal skills both in Indonesian and English.
- Have a good personality and work attitude and be able to work together in a team.
- Action-oriented and customer oriented
- Computer literate: word, excel, visio and power point applications
Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.
