PT AIA Financial

PT AIA Financial

Advertised: 5-5-11 | Closing Date: 4-6-11

AIA Financial, one of the largest & progressive joint venture Life Insurance with a solid commitment to human resource excellence, invites suitably qualified professionals who seeking greater challenges to apply for the followings positions :

Claim Adjudicator Officer

(Jakarta Raya - Kuningan, Jakarta)

Responsibilities:

Adjudicate reimburse and hospital claims, determine acceptibility of evidence/ documents. submitted and necessity for additional review, resolve claims issue, and approve claims.
Refer complex claims adjudicator supervisor, and maintain TAT and accuracy of the adjudication.
Acts as initial review point for (possible) fraudulent claims.
Provides initial review and research to help claim adjudicator supervisor in determining, if claims require further investigation to determine possible payment or even fraudulent activity.
Provides research and obtain information on claim fraudulent cases.
Ability to analyze or make interpretation on claim information from various sources.
Requirements:

Candidate must possess at least a Bachelor's Degree in Nursing, Medical Science, Pharmacy/Pharmacology, Medicine or equivalent.
At least 3 year(s) of working experience in insurance industry handling claim adjudication and claim administration support.
Understand the importance of, and demonstrate a customer service policy.
Good written and verbal communication skills.
Good analytical skills.
Has paramedical or pharmaceutical background.
Computer (word, Excel, power point) skills.
Develops a working knowledge of pharmaceutical practices, policy and regulations.
Develops a working knowledge of standard medical abbreviations, terminology and practices.
Works independently with low supervision.
6 Full-Time positions available.

If you feel that you are qualified for the above position, please send your application letter, CV, copy of transcripts, and one recent photograph not later than 2 (two) weeks, with the code on the top left of the envelope, to the following address:

Human Resources Department - PT. AIA Financial
Menara Palma, 18th floor
Jl. HR. Rasuna Said Blok X2 Kav. 6 
Jakarta 12950
or send email to: vacancy@aia-financial.co.id

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