Dokter Senior - Section Head Health Claim

  • Klaim
  • Jakarta Selatan Jakarta Raya
  • 16-Aug-2024
  • Full time

Section Head Health Claim have to make sure the verification and approval claim processes executed properly & thoroughly, also they need to encourage and implement innovations in process and services in Health Claim.

Minimum Qualifications:

  • Candidate MUST be Doctor
  • Have a good understanding about clinic management will be a plus
  • Experience in handling Medical Check-Up System/Project
  • Great Logical & Analytical thinking
  • Able to work as a team and manage a team
  • Skilled at Microsoft Excel

Job Descriptions:

  • Ensure: (a) Claim content (medical procedures, medical examinations, and medications) in accordance with policies’ coverage plan; (b) Medical procedures, examination, and medications fee is in accordance with terms & conditions; (c) Claim content to hospitals or health provider (in accordance to policies' coverage plan)
  • Giving out advice and medical recommendations for specific medical cases to companies based on received informations from hospitals or patient to suggest the best solutions.
  • Encourage and implement innovations in process dan new services
  • Make and implement TOD (Table of Duties) for team member based on work plan
  • Monitor and evaluate team productivity in order to achieved agreed productivity targets
  • Lead health projects in Health Operation Division and suggest an improvement in health industry (for example: medical check-up system, claim process system, etc)

Placement: Head Office - Jakarta Selatan

Performance Bonus; Retirement Benefit Plans Medical, Prescription, Dental, or Vision Plans; Paid Sick Leave; Flexiday Medical / Health Insurance; Life Insurance What's your expected monthly basic salary? Which of the following Microsoft Office products are you experienced with? Do you have a Bachelor Degree? How many years' experience do you have as a Doctor?