Claims Analyst (Reimbursement) - Insurance Cashless Processing

Provis Garuda Services is seeking a detail-oriented and analytical Claims Analyst (Reimbursement) to join our dynamic team in Jakarta Selatan. In this role, you will play a critical part in processing and managing insurance claims for cashless transactions, ensuring accurate reimbursement to our clients. With a growing portfolio and a commitment to excellence, we offer a unique opportunity to contribute to our mission of providing efficient and reliable insurance services.

As a Claims Analyst (Reimbursement), you will work closely with our team to review, verify, and process insurance claims using our in-house system and industry-standard tools like SAP and Microsoft Office Suite. Your analytical skills will be crucial in identifying discrepancies and ensuring timely reimbursements. This role offers a chance to grow within a reputable company known for its innovative approach to insurance solutions.

📋 Tanggung Jawab Pekerjaan

• Review and process insurance claims for cashless transactions using SAP and Microsoft Office Suite.
• Verify claim details, including patient information, treatment records, and billing documents.
• Collaborate with the claims team to resolve discrepancies and ensure accurate reimbursement.
• Monitor claim status and follow up with providers to ensure timely processing.
• Generate and analyze reports to identify trends and areas for improvement.
• Maintain accurate and up-to-date records of all processed claims.
• Participate in training and development programs to enhance your skills and knowledge.
• Adhere to company policies and procedures to ensure compliance and quality standards.

🎓 Kualifikasi & Syarat

• Bachelor's degree in Business Administration, Insurance, or a related field.
• Minimum 2 years of experience in claims processing or a related role in the insurance industry.
• Proficient in using SAP and Microsoft Office Suite.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Good communication and interpersonal skills.
• Ability to work under pressure and meet tight deadlines.
• Familiarity with insurance regulations and compliance requirements.

🛠️ Keahlian

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