Health Insurance Claim Head
cermaticom· Business Development
About this role
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
- Lead the Employee Benefit Insurance After Sale team including Data and Claim team
- Responsibilities of After Sale team include processing claims, assist clients with endorsements, documents and data keeping
- Oversees insurance claims that are in progress to make sure claim decision come out according to SLA and claim appraisal result is justified according to the agreed TC
- Assist clients who are admitted to hospital by coordinating with insurance and hospitals when necessary
- Make daily, weekly, and monthly report for claim updates
- Customer care helpline – 24 hours
- Develop and maintain relationships with insurance companies’ claim departments
- Negotiate and appeal rejected claims with insurance
- Monitor endorsement process and make sure SLA is achieved
- Check and make sure member cards are correct and send them to the clients on time
- Assist with client closing process by coordinating with insurance and making sure the policy T and C is as per agreed
- Put in place control mechanisms that enable achievement of high levels of customer satisfaction.
- Ensure quality and service excellence to clients and 5/5 client satisfaction
- Continuously improve current systems and processes
- Promote a culture of high performance and continuous improvement that values learning and commitment to quality.
Qualifications
- More than 5 years experience as Claim Manager in insurance or brokerage firms
- Have good relationships with insurance companies
- Excellent in communication, negotiation, and persuasion skills
- Strong adherence to SLA and maintaining clients expectations
- Able to respond to clients inquiry with lightning speed and accuracy
- Strong understanding of insurance terms and conditions and claim appeal process
- Background in medicine is preferred but not a must
Additional Information
Frequently Asked Questions
Is the salary disclosed for the Health Insurance Claim Head position at cermaticom?
The salary for this Health Insurance Claim Head role at cermaticom is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Health Insurance Claim Head position at cermaticom located?
This Health Insurance Claim Head role at cermaticom is based in Jakarta, Jakarta, Jakarta, Indonesia, id. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Health Insurance Claim Head role at cermaticom full-time or part-time?
This is listed as a Full time position. It is posted as a Health Insurance Claim Head role in the Business Development department at cermaticom.
Which team or department does the Health Insurance Claim Head at cermaticom belong to?
This Health Insurance Claim Head position is part of the Business Development department at cermaticom. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Health Insurance Claim Head position at cermaticom?
Click the "Apply Now" button on this page. You will be redirected to cermaticom's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Health Insurance Claim Head job at cermaticom posted?
This Health Insurance Claim Head position at cermaticom was posted on Nov 22, 2023. Apply as soon as possible — early applications are often reviewed first.
Health Insurance Claim Head
cermaticom
You'll be redirected to cermaticom's official application page on SmartRecruiters.