Insurance Claim Officer - Digital Insurance at Cermati.com

Central Jakarta, Java, Indonesia -

Full Time

Start Date

Immediate

Expiry Date

10 Aug, 26

Salary

0.0

Posted On

12 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Claims Handling, Claims Adjudication, Insurance Recoupment, Reconciliation, Claims Assessment, Policy Analysis, Microsoft Office, Communication Skills, Analytical Skills, E-commerce Insurance

Industry

Financial Services

Description

Company Description Cermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial product by bringing everything online so people can shop around for financial products online and can apply online without having to physically visit a bank. Our team hailed from Silicon Valley Tech companies such as Google, Microsoft, LinkedIn and Sofi as well as Indonesian startups such as Doku, Touchten. We have graduates from well known universities such as Universitas Indonesia, ITB, Stanford, University of Washington, Cornell and many others. We are building a company with the same culture of openness, transparency, drive and meritocracy as Silicon Valley companies. Join us in our cause to build a world class fintech company in Indonesia. Job Description Handle insurance recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanation Follow up on manual claim and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudication Performed insurance claims assessment according to the actual situation Review the approved claims to ensure the accuracy and made an adjustment as necessary Generate daily claim process and all related document from the system and preparing claims documents to be sent to the payer Investigate claims through liaison parties to determine the eligibility of the claims Complete all daily call log and daily claim log Prepare claim report on a regular basis Accountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division Qualifications Bachelor Degree from any field Minimum 2 years experience on handling insurance claims in broker insurance company Having experience in managing e-commerce insurance inquiries Excellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products Computer literate and proficient in using Microsoft office Detail oriented Good analysis and communication skill

Responsibilities

Manage insurance recoupment, reconciliation, and the adjudication of claims according to benefit policies. Perform claims assessments, review approved claims for accuracy, and generate regular claim reports and documentation.