Job Details

Claim Analyst

Job Descriptions:
  • Analysis and reviews insurance/client claim for accuracy, completeness, eligibility, and coverage
  • Assists in controlling the cost of processing claims and assists contact center about claim and provide information regarding the number of benefits and remaining benefit
  • Calculate the amount of claim and enter claims information into database systems
  • Reviews all medical/surgical billings for reasonable and necessary charges
  • Examines coding of operative reports, procedure, multiple and complicated surgeries
  • Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary
  • Generated claims report on a regular basis and perform related work as assigned
  • Experience 3 years in the related field and strong attention to details with knowledge of health care standards appropriate to a specific claim
  • Solid analytical, problem solving, and communication skills to create data-driven insights and hands-on Microsoft Office
  • Knowledge of medical, pharmaceutical, and other health services, practices, and terminology
  • Ability to organize and coordinate the work of others and the ability to set priorities and assigned from supervisor
Jakarta, Indonesia