Senior Claims Assessor (Medical Insurance) - Remote in Bali

Fullerton Healthcare Group · 📍 Bali, Indonesia · Diposting 2026-10-09
FULL_TIME⭐ TERVERIFIKASI
IDR 45000000 - 65000000

Are you a seasoned professional looking for a challenging and rewarding career in the medical insurance industry? Fullerton Healthcare Group is seeking a highly skilled and experienced Senior Claims Assessor to join our remote team in Bali. In this role, you will play a crucial part in ensuring the accuracy and efficiency of our claims processing system.

We offer a competitive salary, a collaborative and supportive work environment, and the opportunity to work remotely while contributing to the growth of a leading healthcare provider in Indonesia.

If you are passionate about healthcare and have a keen eye for detail, we encourage you to apply for this exciting opportunity.

📋 Tanggung Jawab Pekerjaan

Tanggung Jawab:

  • Review and assess medical insurance claims for accuracy and compliance with company policies and regulations.
  • Conduct thorough investigations to resolve disputes and ensure fair and timely claim settlements.
  • Collaborate with healthcare providers, patients, and internal teams to gather necessary information and documentation.
  • Maintain and update claims processing systems and databases.
  • Monitor claims trends and identify areas for improvement in the claims process.
  • Provide training and support to junior staff members.
  • Stay updated with the latest developments in medical insurance and claims processing.
  • Prepare and present regular reports on claims status, trends, and performance metrics.

    • 🎓 Kualifikasi & Syarat

    Kualifikasi:

  • Bachelor's degree in a related field or equivalent experience.
  • Minimum of 5 years of experience in claims assessment or a similar role in the medical insurance industry.
  • Strong knowledge of Indonesian medical insurance regulations and guidelines.
  • Excellent analytical and problem-solving skills.
  • Proficiency in English and Bahasa Indonesia.
  • Familiarity with claims processing software and systems.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Strong attention to detail and commitment to accuracy.

    • 🛠️ Keahlian

    Claims assessmentmedical insuranceregulatory complianceinvestigative skillscommunicationtrainingsoftware proficiencyattention to detail
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