Job Description
Full details about the role and requirements
Yukerja Summary
The Claim Investigation Senior Officer role at Pamadya Analytica Technology is curated from JobStreet (category Teknologi & IT). Note the work location (Karawaci, Banten) before applying. Yukerja.com is not the employer — applications are handled on the official source site.
Job description:
Responsible for managing anti-fraud strategy.
Identification and analysis of irregular claims.
Investigate suspicious claim on potential fraud cases.
Analysis of processing cost containment of claim guarantee.
Document the results of anti fraud-Investigator properly.
Perform valuations and compile fraud investigations report.
Participate in developing system to improve better control anti-fraud system.
Job qualification:
Bachelor’s Degree in Nursing, Midwifery or other healthcare-related fields.
1–2 years of experience in claim investigation or a related healthcare insurance role.
Strong understanding of medical terminology, clinical procedures, and treatment protocols.
Experience in reviewing medical records and assessing the validity of health or life insurance claims.
Good communication skills, with the ability to collaborate effectively with hospitals, clinics, and internal teams.
Familiarity with healthcare regulations and insurance claim standards.
Fluent in English, both oral and written.
Strong analytical skills, dynamic, energetic and results driven.
Willing to be located in our Head Office at Menara Matahari, Lippo Karawaci, Tangerang, Banten.
Experience in handling sensitive and confidential information with high integrity and professionalism.
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 hrd@meditap.id